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Robotic DIEP Flap Harvest through a Totally Extraperitoneal Approach Using a Single-Port Surgical Robotic System
- Source :
- Plastic and reconstructive surgery. 148(2)
- Publication Year :
- 2021
-
Abstract
- SUMMARY Deep inferior epigastric artery perforator (DIEP) flap surgery is one of the most common techniques for breast reconstruction using abdominal tissue. Although the DIEP flap reduces donor-site morbidity when compared with the conventional free transverse rectus abdominis musculocutaneous flap, violation of the anterior rectus sheath, rectus muscle, and motor nerves cannot be avoided. To further minimize tissue damage in the donor site, the use of a surgical robotic system for DIEP flap harvest with a totally extraperitoneal approach has been suggested. This totally extraperitoneal approach has a long learning curve because of the narrow preperitoneal space and the difficulty of converting a potential space to an actual space. Thus, the authors suggest a single-port robotic system optimized for narrow surgical spaces as a feasible option for DIEP flap harvest by a totally extraperitoneal approach, which has a shorter learning curve.
- Subjects :
- medicine.medical_specialty
business.industry
Mammaplasty
Deep Inferior Epigastric Artery
Rectus muscle
Rectus Abdominis
Extraperitoneal approach
Transplant Donor Site
eye diseases
Surgery
Port (medical)
Robotic systems
Anterior rectus sheath
Robotic Surgical Procedures
DIEP flap
medicine
Tissue and Organ Harvesting
Feasibility Studies
Humans
business
Breast reconstruction
Perforator Flap
Learning Curve
Subjects
Details
- ISSN :
- 15294242
- Volume :
- 148
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Plastic and reconstructive surgery
- Accession number :
- edsair.doi.dedup.....673f5cc56222d1cef226cec41b97d5c8