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

Bernard T. Lee, Jayant P. Agarwal, Jeffrey A. Ascherman, Stephanie A. Caterson, Diedra D. Gray, Scott T. Hollenbeck, Seema A. Khan, Lauren D. Loeding, Raman C. Mahabir, Archibald S. Miller, Galen Perdikis, Jaime S. Schwartz, Beth A. Sieling, Achilles Thoma, Judith A. Wolfman, Jean L. Wright

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)651e-664e
JournalPlastic and Reconstructive Surgery
Volume140
Issue number5
DOIs
StatePublished - Nov 1 2017

Fingerprint

Mammaplasty
Evidence-Based Practice
Practice Guidelines
Guidelines
Professional Competence
Rectus Abdominis
Myocutaneous Flap
Patient Preference
Mastectomy
Surgeons
diclofenac hydroxyethylpyrrolidine
Research

ASJC Scopus subject areas

  • Surgery

Cite this

Lee, B. T., Agarwal, J. P., Ascherman, J. A., Caterson, S. A., Gray, D. D., Hollenbeck, S. T., ... Wright, J. L. (2017). Evidence-Based Clinical Practice Guideline: Autologous Breast Reconstruction with DIEP or Pedicled TRAM Abdominal Flaps. Plastic and Reconstructive Surgery, 140(5), 651e-664e. https://doi.org/10.1097/PRS.0000000000003768

Evidence-Based Clinical Practice Guideline : Autologous Breast Reconstruction with DIEP or Pedicled TRAM Abdominal Flaps. / Lee, Bernard T.; Agarwal, Jayant P.; Ascherman, Jeffrey A.; Caterson, Stephanie A.; Gray, Diedra D.; Hollenbeck, Scott T.; Khan, Seema A.; Loeding, Lauren D.; Mahabir, Raman C.; Miller, Archibald S.; Perdikis, Galen; Schwartz, Jaime S.; Sieling, Beth A.; Thoma, Achilles; Wolfman, Judith A.; Wright, Jean L.

In: Plastic and Reconstructive Surgery, Vol. 140, No. 5, 01.11.2017, p. 651e-664e.

Research output: Contribution to journalArticle

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 2017, 'Evidence-Based Clinical Practice Guideline: Autologous Breast Reconstruction with DIEP or Pedicled TRAM Abdominal Flaps', Plastic and Reconstructive Surgery, vol. 140, no. 5, pp. 651e-664e. https://doi.org/10.1097/PRS.0000000000003768
Lee, Bernard T. ; Agarwal, Jayant P. ; Ascherman, Jeffrey A. ; Caterson, Stephanie A. ; Gray, Diedra D. ; Hollenbeck, Scott T. ; Khan, Seema A. ; Loeding, Lauren D. ; Mahabir, Raman C. ; Miller, Archibald S. ; Perdikis, Galen ; Schwartz, Jaime S. ; Sieling, Beth A. ; Thoma, Achilles ; Wolfman, Judith A. ; Wright, Jean L. / Evidence-Based Clinical Practice Guideline : Autologous Breast Reconstruction with DIEP or Pedicled TRAM Abdominal Flaps. In: Plastic and Reconstructive Surgery. 2017 ; Vol. 140, No. 5. pp. 651e-664e.
@article{b953198cc6cf426884ce518e8f8e18c4,
title = "Evidence-Based Clinical Practice Guideline: Autologous Breast Reconstruction with DIEP or Pedicled TRAM Abdominal Flaps",
abstract = "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.",
author = "Lee, {Bernard T.} and Agarwal, {Jayant P.} and Ascherman, {Jeffrey A.} and Caterson, {Stephanie A.} and Gray, {Diedra D.} and Hollenbeck, {Scott T.} and Khan, {Seema A.} and Loeding, {Lauren D.} and Mahabir, {Raman C.} and Miller, {Archibald S.} and Galen Perdikis and Schwartz, {Jaime S.} and Sieling, {Beth A.} and Achilles Thoma and Wolfman, {Judith A.} and Wright, {Jean L.}",
year = "2017",
month = "11",
day = "1",
doi = "10.1097/PRS.0000000000003768",
language = "English (US)",
volume = "140",
pages = "651e--664e",
journal = "Plastic and Reconstructive Surgery",
issn = "0032-1052",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

TY - JOUR

T1 - Evidence-Based Clinical Practice Guideline

T2 - Autologous Breast Reconstruction with DIEP or Pedicled TRAM Abdominal Flaps

AU - Lee, Bernard T.

AU - Agarwal, Jayant P.

AU - Ascherman, Jeffrey A.

AU - Caterson, Stephanie A.

AU - Gray, Diedra D.

AU - Hollenbeck, Scott T.

AU - Khan, Seema A.

AU - Loeding, Lauren D.

AU - Mahabir, Raman C.

AU - Miller, Archibald S.

AU - Perdikis, Galen

AU - Schwartz, Jaime S.

AU - Sieling, Beth A.

AU - Thoma, Achilles

AU - Wolfman, Judith A.

AU - Wright, Jean L.

PY - 2017/11/1

Y1 - 2017/11/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=85033401917&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85033401917&partnerID=8YFLogxK

U2 - 10.1097/PRS.0000000000003768

DO - 10.1097/PRS.0000000000003768

M3 - Article

C2 - 29068921

AN - SCOPUS:85033401917

VL - 140

SP - 651e-664e

JO - Plastic and Reconstructive Surgery

JF - Plastic and Reconstructive Surgery

SN - 0032-1052

IS - 5

ER -