Long-term results of a standardized enhanced recovery protocol in unilateral, secondary autologous breast reconstructions using an abdominal free flap.

Background: In 2015, we published one of the first reports using an enhanced recovery protocol (ERP) in microsurgery, and in 2016, our final ERP setup in autologous breast reconstruction (ABR) using free abdominal flaps. We showed that by adhering to a few simple, easy to measure, functional discharge criteria, it was possible to safely discharge the patients by the third postoperative day (POD). However, one of the challenges of interpreting studies using ERP in ABR is the often heterogenous patient populations and the need to clearly distinguish between primary and secondary and unilateral and bilateral reconstructions.

[Mondor's disease in the chest wall six months after excision of malignant melanoma].

This case report presents a 39-year-old woman with Mondor's disease in the left chest wall six months after excision of a malignant melanoma in the left lumbar region, with sentinel lymph node-biopsy from the left axilla. Mondor's disease is a rare, benign and self-limiting superficial thrombophlebitis, which can appear after surgery on the breast or thorax. Aetiology, pathophysiology, clinical presentation and disease course are reviewed.