Autologous Breast Reconstruction With Diep Or Pedicled Tram Abdominal Flaps
Recommendations
The Work Group suggests that clinicians may treat patients undergoing mastectomy and autologous breast reconstruction with either surgical technique (pedicled TRAM flap or DIEP flap, contingent on the use of mesh for pedicled TRAM procedures) because the risk of donor-site complications is comparable among procedures. Patient preference should have a substantial influencing role. (C)
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The Work Group suggests that clinicians may treat patients undergoing mastectomy and autologous breast reconstruction with either surgical technique (pedicled TRAM flap or DIEP flap) because the risk of flap-related complications is comparable among procedures. Patient preference should have a substantial influencing role. (C)
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Based on little or no systematic empirical evidence, it is the consensus of the Work Group that clinicians may treat patients undergoing mastectomy and autologous breast reconstruction with either surgical technique (pedicled TRAM flap or DIEP flap) since the risk of systemic complications (DVT and PE) is indeterminate among procedures. (D)
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Based on little or no systematic empirical evidence, it is the consensus of the Work Group that clinicians may treat patients undergoing mastectomy and autologous breast reconstruction with either surgical technique (pedicled TRAM flap or DIEP flap) because the risk of revision/reoperation and reconstruction failure is indeterminate among procedures. (D)
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Based on little or no systematic empirical evidence, it is the consensus of the Work Group that clinicians may treat patients undergoing mastectomy and autologous breast reconstruction with either surgical technique (pedicled TRAM flap or DIEP flap) because there were no differences in patient satisfaction noted. However, it was found that the level of patient satisfaction is high for both procedures. (D)
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Recommendation Grading
Overview
Title
Autologous Breast Reconstruction With Diep Or Pedicled Tram Abdominal Flaps
Authoring Organization
American Society of Plastic Surgeons
Publication Month/Year
November 1, 2017
Document Type
Guideline
External Publication Status
Published
Country of Publication
US
Document Objectives
To develop recommendations for autologous breast reconstruction with abdominal flaps
Target Patient Population
Patients undergoing breast reconstruction with autologous abdominal flap
Inclusion Criteria
Female, Adolescent, Adult, Older adult
Health Care Settings
Hospital, Outpatient
Scope
Assessment and screening, Management, Treatment
Diseases/Conditions (MeSH)
D013518 - Surgery, Plastic, D001943 - Breast Neoplasms, D019651 - Reconstructive Surgical Procedures
Keywords
breast cancer, cosmetic surgery, plastic surgery, reconstructive treatment, Breast Cancer, breast_cancer
Source Citation
Plastic and Reconstructive Surgery. 140(5):651e–664e, NOVEMBER 2017