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ASPS Guideline on Autologous Breast Reconstruction with DIEP or Pedicled TRAM Abdominal Flaps

Published: May 2017

Read Full-Text Guideline

This guideline is based on a systematic review of evidence and addresses the complications and patient satisfaction of those undergoing breast reconstruction with autologous abdominal flaps, specifically the deep inferior epigastric perforator (DIEP) flap and the pedicled transverse rectus abdominis muscle (pTRAM) flap, to treat breast defects associated with the diagnosis and treatment of breast cancer.

Developed in collaboration with:

American Society of Plastic Surgeons

Endorsed by:

  • American Society for Radiation Oncology
  • American College of Radiology
  • American Society of Breast Surgeons
  • American Society of Clinical Oncology

Key Points:

  • Risk of donor-site complications
  • Role of patient preference
  • Risk of flap-related complications 


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