Evidence-Based Clinical Practice Guideline: Autologous Breast Reconstruction with DIEP or Pedicled TRAM Abdominal Flaps.

Journal Article (Journal Article)

The American Society of Plastic Surgeons commissioned a multistakeholder Work Group to develop recommendations for autologous breast reconstruction with abdominal flaps. A systematic literature review was performed and a stringent appraisal process was used to rate the quality of relevant scientific research. The Work Group assigned to draft this guideline was unable to find evidence of superiority of one technique over the other (deep inferior epigastric perforator versus pedicled transverse rectus abdominis musculocutaneous flap) in autologous tissue reconstruction of the breast after mastectomy. Presently, based on the evidence reported here, the Work Group recommends that surgeons contemplating breast reconstruction on their next patient consider the following: the patient's preferences and risk factors, the setting in which the surgeon works (academic versus community practice), resources available, the evidence shown in this guideline, and, equally important, the surgeon's technical expertise. Although theoretical superiority of one technique may exist, this remains to be reported in the literature, and future methodologically robust studies are needed.

Full Text

Duke Authors

Cited Authors

  • Lee, BT; Agarwal, JP; Ascherman, JA; Caterson, SA; Gray, DD; Hollenbeck, ST; Khan, SA; Loeding, LD; Mahabir, RC; Miller, AS; Perdikis, G; Schwartz, JS; Sieling, BA; Thoma, A; Wolfman, JA; Wright, JL

Published Date

  • November 2017

Published In

Volume / Issue

  • 140 / 5

Start / End Page

  • 651e - 664e

PubMed ID

  • 29068921

Electronic International Standard Serial Number (EISSN)

  • 1529-4242

Digital Object Identifier (DOI)

  • 10.1097/PRS.0000000000003768


  • eng

Conference Location

  • United States