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Initial report of extraperitoneal pedicle dissection in deep inferior epigastric perforator flap breast reconstruction using the da Vinci SP

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...

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Autores principales: Jung, Ji Hyuk, Jeon, Yeo Reum, Lee, Dong Won, Park, Hyung Seok, Lew, Dae Hyun, Roh, Tae Suk, Song, Seung Yong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Plastic and Reconstructive Surgeons 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8795659/
https://www.ncbi.nlm.nih.gov/pubmed/35086306
http://dx.doi.org/10.5999/aps.2021.00703
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author Jung, Ji Hyuk
Jeon, Yeo Reum
Lee, Dong Won
Park, Hyung Seok
Lew, Dae Hyun
Roh, Tae Suk
Song, Seung Yong
author_facet Jung, Ji Hyuk
Jeon, Yeo Reum
Lee, Dong Won
Park, Hyung Seok
Lew, Dae Hyun
Roh, Tae Suk
Song, Seung Yong
author_sort Jung, Ji Hyuk
collection PubMed
description 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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spelling pubmed-87956592022-02-07 Initial report of extraperitoneal pedicle dissection in deep inferior epigastric perforator flap breast reconstruction using the da Vinci SP Jung, Ji Hyuk Jeon, Yeo Reum Lee, Dong Won Park, Hyung Seok Lew, Dae Hyun Roh, Tae Suk Song, Seung Yong Arch Plast Surg Breast/Trunk 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. Korean Society of Plastic and Reconstructive Surgeons 2022-01 2022-01-15 /pmc/articles/PMC8795659/ /pubmed/35086306 http://dx.doi.org/10.5999/aps.2021.00703 Text en Copyright © 2022 The Korean Society of Plastic and Reconstructive Surgeons https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Breast/Trunk
Jung, Ji Hyuk
Jeon, Yeo Reum
Lee, Dong Won
Park, Hyung Seok
Lew, Dae Hyun
Roh, Tae Suk
Song, Seung Yong
Initial report of extraperitoneal pedicle dissection in deep inferior epigastric perforator flap breast reconstruction using the da Vinci SP
title Initial report of extraperitoneal pedicle dissection in deep inferior epigastric perforator flap breast reconstruction using the da Vinci SP
title_full Initial report of extraperitoneal pedicle dissection in deep inferior epigastric perforator flap breast reconstruction using the da Vinci SP
title_fullStr Initial report of extraperitoneal pedicle dissection in deep inferior epigastric perforator flap breast reconstruction using the da Vinci SP
title_full_unstemmed Initial report of extraperitoneal pedicle dissection in deep inferior epigastric perforator flap breast reconstruction using the da Vinci SP
title_short Initial report of extraperitoneal pedicle dissection in deep inferior epigastric perforator flap breast reconstruction using the da Vinci SP
title_sort initial report of extraperitoneal pedicle dissection in deep inferior epigastric perforator flap breast reconstruction using the da vinci sp
topic Breast/Trunk
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8795659/
https://www.ncbi.nlm.nih.gov/pubmed/35086306
http://dx.doi.org/10.5999/aps.2021.00703
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