Breast-Enhanced Recovery After Surgery Protocol Decreased Opioid Usage, Anti-Emetic Requirement and Hospital Length of Stay in Patients Undergoing Total Mastectomy Without Reconstruction

Background: Enhanced recovery after surgery (ERAS) protocols have been used in several surgical specialties to improve patient outcomes, with a consensus from the ERAS Society in the utility of ERAS for patients undergoing breast reconstruction. However, an equivalent protocol for patients not having reconstruction does not exist. In 2018, an institution specific Breast-ERAS (BERAS) protocol was implemented with the goal of optimizing outcomes for patients undergoing a mastectomy without reconstruction (TM). The hypothesis of this study is that the BERAS protocol would result in a decrease in the in-hospital use of opioid pain medications, post-operative anti-emetic use and hospital length of stay (LOS) without affecting the 30-day readmission rate.