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Grace Lepis, Alexis Coleman, Ethan Paulin, Manpreet Kohli, Gregory Greco, Ashley Toussaint, Vincent Almagno and Adam Shalek
Background: There are few studies outlining an adoptable enhanced recovery pathway after mastectomy and
reconstruction. This study analyzed a constructed and employed multimodal pain control regimen and the data
extrapolated demonstrates how it may influence narcotic use and length of stay in the hospital.
Methods: A retrospective electronic medical record review from 2016 to 2016 under the care of two surgeons from
a community hospital included 47 patients.
Results: After implementation of the regimen, average length of stay in the hospital decreased by nearly 10 hours
with about 1/3 of the patients having a completely narcotic free hospitalization.
Conclusion: By employing these techniques, adequate pain control is possible, patient satisfaction would increase
and length of hospital stay would decrease. Encouraging results of this study propose a regimen that could easily and
affordably be adopted amongst other hospitals and surgeons across multiple specialties.