Efficiency in Microvascular Breast Reconstruction

Purpose of Review: Efficiency in microsurgical breast reconstruction is becoming increasingly critical. With the increasing incidence of breast cancer diagnoses and the evolving landscape of healthcare, optimizing operative efficiency is imperative. This review explores various aspects of preoperative, intraoperative, and postoperative processes to enhance value and streamline care. Recent Findings: Recent data reveal a shift toward autologous breast reconstruction over implant-based techniques, primarily due to better long-term outcomes and reduced risks. However, prolonged operative times have been a significant drawback. Various efficiency models, such as Process Mapping, 4 Disciplines of Execution (4DX), and Lean Six Sigma, have been adapted to microsurgical breast reconstruction with positive results. Additionally, patient selection, preoperative imaging, operative team coordination, and intraoperative techniques have been refined to improve efficiency. Enhanced Recovery After Surgery (ERAS) pathways have demonstrated benefits in postoperative recovery, reducing hospital stay, and enhancing patient-reported outcomes. Summary: Efficiency in microsurgical breast reconstruction is paramount in delivering high-quality care while minimizing costs. By adopting innovative efficiency models and refining surgical processes, surgeons can optimize patient outcomes, reduce complications, and ensure the best esthetic results. In a healthcare environment emphasizing value-based care, prioritizing efficiency is essential for providing exceptional breast reconstruction services and improving the overall patient experience.