Table 1.

The ERAS protocol.

Preoperatively	Day of surgery (after surgery)	POD 1	POD 2	POD 3	POD 4 (Goal discharge day)
Information about standardization of postoperative care	Bedrest, lie on back, hips and knees flexed	Mobilization up to a chair or bedside (with abdominal binder)	Mobilization at least 3 times a day up to a chair (with abdominal binder)	Mobilization at least 4 times a day up to a chair or walking around (with abdominal binder)	Mobilization at least 6 times a day up to a chair or walking around (with abdominal binder)
	Checkup of the flap every hour	Checkup of the flap every hour	Checkup of the flap every 2 h	Checkup of the flap 3 times a day	Checkup of the flap 3 times a day
	IV line + Antibiotics	IV line + Antibiotics	Removal of the IV line
	Bladder catheter	Bladder catheter	Removal of bladder catheter
	Pain medication: Paracetamol, diclofenac and PCA	Pain medication: Paracetamol, diclofenac and PCA	Pain medication: Paracetamol, diclofenac	Pain medication: Paracetamol, diclofenac	Pain medication: Paracetamol, diclofenac
	Vacuum drains (removed when output <30 cc/24 h)	Vacuum drains (removed when output <30 cc/24 h)	Vacuum drains (removed when output <30 cc/24 h)	Vacuum drains (removed when output <30 cc/24 h)	Vacuum drains (removed when output <30 cc/24 h)
	Regular diet (energy and protein enriched)	Regular diet (energy and protein enriched)	Regular diet (energy and protein enriched)	Regular diet (energy and protein enriched)	Regular diet (energy and protein enriched)
		Physiotherapy - Respiratory exercises	Respiratory exercises	Respiratory exercises	Respiratory exercises
					Compression bra

Abbreviations: POD, postoperative day, PCA, patient controlled analgesia.