Key recommendations support use of  opioid-sparing perioperative medications  , minimal preoperative fasting and early feeding , use of anesthetic techniques that decrease postoperative nausea and vomiting and pain , use of measures to prevent intraoperative hypothermia , and support of early mobilization after surgery .
Background : Enhanced recovery following surgery can be achieved through the introduction of evidence -based perioperative maneuvers .
This review aims to present a consensus for optimal perioperative management of patients undergoing breast reconstructive surgery  and to provide evidence -based recommendations for an enhanced perioperative protocol .
Long-Acting versus Short-Acting Cephalosporins for Preoperative Prophylaxis in Breast Surgery:A Randomized Double-Blin d Trial Involving 1,766 Patients
Postoperative infectious complications after breast surgery may result in significant morbidity , psychological trauma , and additional costs . We assessed the efficacy of preoperative antibiotic prophylaxis for surgery in a r and omized , double-blind trial of 1,766 patients undergoing breast surgery . From January 1 , 1996 to August 31 , 1997 , all eligible patients were assigned r and omly to receive a single dose of ceftriaxone ( 2 g ) or ceftazidime ( 2 g ) given intravenously at the induction of anesthesia , with no further doses . The groups were similar with respect to age , operative procedure , operative time and time to discharge after operation . The patients who received ceftriaxone prophylaxis had 54.4 % fewer overall infections than those who received ceftazidime prophylaxis . Wound infection occurred in 0.45 % of the ceftriaxone recipients ( 2 of 883 ) and 0.91 % of the ceftazidime recipients ( 8 of 883 ) . This prospect i ve r and omized double-blind study showed that the long-acting regimen containing ceftriaxone is more cost-effective than the short-acting ceftazidime in preventing postoperative infections in patients subjected to breast surgery
Key recommendations support use of  opioid-sparing perioperative medications  , minimal preoperative fasting and early feeding , use of anesthetic techniques that decrease postoperative nausea and vomiting and pain , use of measures to prevent intraoperative hypothermia , and support of early mobilization after surgery .
Background : Enhanced recovery following surgery can be achieved through the introduction of evidence -based perioperative maneuvers .
This review aims to present a consensus for optimal perioperative management of patients undergoing breast reconstructive surgery  and to provide evidence -based recommendations for an enhanced perioperative protocol .