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. 2018 Aug;50(4):248-255.
doi: 10.1055/a-0631-9025. Epub 2018 Aug 21.

[Breast reconstruction with the free TRAM or DIEP flap – What is the current standard? Consensus Statement of the German Speaking Working Group for Microsurgery of the Peripheral Nerves and Vessels]

[Article in German]
Steffen U Eisenhardt  1 , Arash Momeni  2 , Uwe von Fritschen  3 , Raymund E Horch  4 , G Björn Stark  1 , Holger Bannasch  1 , Yves Harder  5 , Christoph Heitmann  6 , Thomas Kremer  7 , Ulrich M Rieger  8 , Ulrich Kneser  9
Affiliations

[Breast reconstruction with the free TRAM or DIEP flap – What is the current standard? Consensus Statement of the German Speaking Working Group for Microsurgery of the Peripheral Nerves and Vessels]

[Article in German]
Steffen U Eisenhardt et al. Handchir Mikrochir Plast Chir. 2018 Aug.

Erratum in

Abstract
in English, German

The most common donor-site for autologous breast reconstruction is the abdomen. Over the past several decades technical advances have resulted in the development of flaps that have been associated with a progressive decrease in abdominal wall morbidity. However, controversy exists related to the differences between muscle-sparing (MS)-TRAM and deep inferior epigastric perforator (DIEP) flaps. Hence, the question which approach should be considered standard of care remains unanswered. To address this question the current literature and published evidence was critically reviewed and discussed by an expert panel at the 39th Annual Meeting of the German-speaking Society for Micro surgery of the Peripheral Nerves and Vessels (DAM). Based on this discussion a consensus statement was developed that incorporates contemporary data regarding postoperative complication rate, donor site morbidity, as well as expert opinion regarding technical details in autologous breast reconstruction with free TRAM and DIEP flaps.

Die Brustrekonstruktion mit freiem Gewebetransfer vom Unterbauch als (muskelsparende) TRAM oder DIEP Lappenplastik stellt das Standardverfahren der autologen Brustrekonstruktion dar. Durch operative Fortschritte ist es gelungen die Hebedefektmorbidität durch muskelsparende bzw. perforatorbasierte Techniken zu minimieren. Hier stellt sich die Frage, in wie weit dies als ein notwendiger Standard angesehen werden kann oder ob auch Lappenplastiken mit Muskelanteilen (MS-TRAM) noch als zeitgemäß anzusehen sind. In einem Konsensusworkshop der 3 Jahrestagung der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der peripheren Nerven und Gefäße (DAM) wurde die Datenlage kritisch geprüft und durch eine Expertengruppe ein Konsensus erarbeitet. Dieser beinhaltet neben den aktuellen Daten zu Lappensicherheit und Hebedefektmorbidität aus der Literatur auch ein aktuelles Meinungsbild der Expertengruppe bzgl. verschiedener technischer Details des operativen Vorgehens.

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