Background: After the TRAM flap for breast reconstruction have been published, become the most popular autologous breast reconstructive procedure, although not free of donor site complications. Methods: Eleven patients underwent to immediately postmastectomy breast reconstruction with TRAM flap and minimal dissection on donor site using quilting suture's and closed suction drainage were analyzed. The authors had evaluated prospectively the abdominal complications of the donor site. Results: None of the patients developed seroma, hematoma, wound infection, abdominal bulge or hernia. One patient developed partial skin loss, and one patient developed discomfort. Conclusion: The quilting suture's plus closed suction drainage decrease the complications outcomes at TRAM donor site.
Keywords: Reconstructive surgical procedures. Mammaplasty. Breast/surgery.