Operative Efficiency in Deep Inferior Epigastric Perforator Flap Reconstruction

Subramaniam, Sneha; Tanna, Neil; Smith, Mark L.

doi:10.1016/j.cps.2022.11.002

Cited by 2 publications

(2 citation statements)

References 37 publications

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“…Methods to enhance efficiency have allowed this operation to be performed safely and effectively, and years of adaptations have allowed for broad use and optimized outcomes. [117][118][119][120][121] Comprehensive attention to preoperative, intraoperative, and postoperative factors can improve patient care and satisfaction. Future directions aim to build on these gains, limit morbidity, and expand the reach of these procedures to more patients.…”

Section: Discussionmentioning

confidence: 99%

Contemporary Microsurgical Breast Reconstruction: Abdominally Based Flaps

Tanna,

Sultan,

Minasian

et al. 2024

Plastic &Amp; Reconstructive Surgery

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Learning Objectives: After studying this article, the participant should be able to: 1. Understand the types of abdominally based flaps, their anatomy, and their drawbacks. 2. Understand important aspects of the history and physical examination of patients wishing to undergo these procedures. 3. Understand the benefits of preoperative planning and its role in avoiding complication. 4. Understand the operative steps of the procedures and tips to increase efficiency. 5. Understand the postoperative care of these patients and the role of enhanced recovery pathways. Summary: In this article, the authors review the history, current state, and future directions related to abdominally based microsurgical breast reconstruction. This article covers preoperative, intraoperative, and postoperative considerations intended to improve patient outcomes and prevent complications. Evidence-based findings are reported when available to comprehensively review important aspects of these procedures.

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Section: Discussionmentioning

confidence: 99%

Contemporary Microsurgical Breast Reconstruction: Abdominally Based Flaps

Tanna,

Sultan,

Minasian

et al. 2024

Plastic &Amp; Reconstructive Surgery

Self Cite

View full text Add to dashboard Cite

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“…To address the issues of increased operative time and costs associated with the robotic-assisted DIEP flap technique, enhancing the operative efficiency of surgeons is key. Research indicates that even minor improvements to the operating room setup and coordination can significantly boost surgical efficiency [36,37]. Additionally, the noted steep learning curve associated with this technique underscores the importance of surgeons gaining proficiency and comfort with the necessary robotic technology and procedures [12,23].…”

Section: Advancing Robotic Diep Flap Efficiencymentioning

confidence: 99%

Advancing Breast Reconstruction: Next-Generation Robotic-Assisted Deep Inferior Epigastric Perforator Flap Techniques

Aiello,

Choe,

Suri

et al. 2024

IMJ

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Robotic-assisted surgery has revolutionized the surgical world, introducing innovative methods to reduce invasiveness across a variety of procedures. Despite its promise, the adoption of robotic-assisted techniques in microsurgery has been gradual. Many microsurgical procedures traditionally rely on open approaches and demand a level of technical skill that exceeds the current capabilities of robotic systems. The robotic-assisted deep inferior epigastric perforator (DIEP) flap for breast reconstruction exemplifies a pioneering application of robotic technology that enhances the "gold standard" for flap-based breast reconstruction. This technique enables microsurgeons to harvest the pedicle of the abdominal flap with a significantly shorter fascial incision. It is hypothesized that minimizing the fascial incision length could mitigate donor site morbidity and related complications, such as core weakening, pain, and the risk of fascial bulge or hernia. This manuscript delves into the robotic-assisted DIEP flap, elaborating on the operative technique and sharing critical surgical insights necessary for successful implementation. Furthermore, it reviews the pertinent literature, underscoring both the successes and potential areas for enhancement of the robotic-assisted DIEP flap. This comprehensive examination showcases the current advancements and sets the stage for future innovations in the field of robotic-assisted microsurgery. ROBOTIC-ASSISTED SURGERY OVERVIEWRobotic-assisted surgery (RAS) was first conceptualized in the 1980s by Scott Fisher at the National Aeronautics and Space Administration (NASA) and Joseph Rosen, a plastic surgeon at Stanford University [1]. Originating as a derivative of laparoscopic surgery, RAS aims to improve surgical outcomes through minimally invasive approaches, thereby reducing human error [2]. Since the introduction of early robotic equipment such as the Programmable Universal Machine for Assembly (PUMA) Arm and RoboDoc, designed for neurologic and orthopedic surgery respectively, to the advent of the da Vinci® System, the field of RAS has experienced exponential growth over the past decades [1,2]. The da Vinci® System, which consists of a surgeon's console equipped with cameras for each eye, a patient trolley with four articulated arms, and an advanced imaging system, was the first surgical robot to receive FDA approval in 2000 [2,3]. It has been widely adopted across various medical subspecialties, including urology, gynecology, otolaryngology, cardiothoracic, and abdominal surgery [4-6]. Research on outcomes in these fields has underscored the significant benefits of RAS for both patients and providers.

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Operative Efficiency in Deep Inferior Epigastric Perforator Flap Reconstruction

Cited by 2 publications

References 37 publications

Contemporary Microsurgical Breast Reconstruction: Abdominally Based Flaps

Contemporary Microsurgical Breast Reconstruction: Abdominally Based Flaps

Advancing Breast Reconstruction: Next-Generation Robotic-Assisted Deep Inferior Epigastric Perforator Flap Techniques

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