Arch Plast Surg.
2022 Jan;49(1):34-38. 10.5999/aps.2021.00703.
Initial report of extraperitoneal pedicle dissection in deep inferior epigastric perforator flap breast reconstruction using the da Vinci SP
- Affiliations
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- 1Department of Plastic and Reconstructive Surgery, National Health Insurance Service Ilsan Hospital, Goyang, Korea
- 2Institute for Human Tissue Restoration and Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea
- 3Department of Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
- 4Institute for Human Tissue Restoration and Department of Plastic and Reconstructive Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
- KMID: 2524912
- DOI: http://doi.org/10.5999/aps.2021.00703
Abstract
- The deep inferior epigastric perforator (DIEP) flap has been widely used for autologous breast reconstruction after mastectomy. In the conventional surgical method, a long incision is needed at the anterior fascia of the rectus abdominis muscle to obtain sufficient pedicle length; this may increase the risk of incisional hernia. To shorten the incision, several trials have investigated the use of endoscopic/robotic devices for pedicle harvest; however, making multiple additional incisions for port insertion and operating in the intraperitoneal field were inevitable. Here, we describe the first case, in which a DIEP free flap was successfully made using the da Vinci SP model. Our findings can help surgeons perform operations in smaller fields with a single port in the extraperitoneal space. Moreover, this method is expected to lead to fewer donor-related complications and faster healing.
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