[A Consensus Statement of the German-Speaking Society for Reconstructive Microsurgery (GSRM): Closure of the DIEP/ms-TRAM Flap Donor-Site Defect].

Harvesting DIEP or msTRAM flaps for autologous breast reconstruction may lead to complications such as hernia formation and abdominal bulging at the donor site. This consensus statement aims to identify and recommend strategies to minimize donor-site morbidity. During the consensus workshop at the 45th Annual Meeting of the German-speaking Society for Reconstructive Microsurgery (GSRM) in Aachen, the following key questions were addressed: Which dissection strategies minimize complications? When is prophylactic mesh placement indicated? What postoperative measures are advisable?An expert consensus was developed through a systematic literature review and in-depth discussion of current evidence among workshop participants.The panel reached consensus on the following recommendations: Atraumatic dissection techniques should be used to reduce the risk of bulging. Selective mesh placement is recommended depending on the presence of a fascial defect. Postoperative activity restriction (avoidance of heavy lifting for 6 weeks) is advised for hernia prevention. The panel emphasized the importance of individualized treatment strategies and highlighted the need for further scientific investigation in this area.