Recommendations

Document Overview

Design and created by Guideline Central in participation with the American Society of Plastic Surgeons.

Autologous Breast Reconstruction With Diep Or Pedicled Tram Abdominal Flaps

American Society of Plastic Surgeons

Publication Date: Nov 1, 2017

Page Last Updated: May 5, 2026

American Society of Plastic Surgeons Scale for Grading Recommendations

Grade	Descriptor	Qualifying Evidence	Implications for Practice
A	Strong recommendation	Level I evidence or consistent findings from multiple studies of levels II, III, or IV	Clinicians should follow a strong recommendation unless a clear and compelling rationale for an alternative approach is present.
B	Recommendation	Levels II, III, or IV evidence and findings are generally consistent	Generally, clinicians should follow a recommendation but should remain alert to new information and sensitive to patient preferences.
C	Option	Levels II, III, or IV evidence, but findings are inconsistent	Clinicians should be flexible in their decision-making regarding appropriate practice, although they may set bounds on alternatives; patient preference should have a substantial influencing role.
D	Option	Level V: Little or no systematic empirical evidence	Clinicians should consider all options in their decision-making and be alert to new published evidence that clarifies the balance of benefit vs. harm; patient preference should have a substantial influencing role.

Document Title: Autologous Breast Reconstruction With Diep Or Pedicled Tram Abdominal Flaps

Source Citation: Plastic and Reconstructive Surgery. 140(5):651e–664e, NOVEMBER 2017

Document Objectives: To develop recommendations for autologous breast reconstruction with abdominal flaps

Diseases/Conditions (MeSH)

D013518 - Surgery, Plastic

D001943 - Breast Neoplasms

D019651 - Reconstructive Surgical Procedures

D013518 - Surgery, Plastic

D001943 - Breast Neoplasms

D019651 - Reconstructive Surgical Procedures

Keywords: breast cancer, cosmetic surgery, plastic surgery, reconstructive treatment

Target Patient Population: Patients undergoing breast reconstruction with autologous abdominal flap