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 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.

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
Initial report of extraperitoneal pedicle dissection in deep inferior epigastric perforator flap breast reconstruction using the da Vinci SP ; volume:49 ; number:01 ; year:2022 ; pages:34-38
Archives of Plastic Surgery ; 49, Heft 01 (2022), 34-38

Contributor
Jung, Ji Hyuk
Jeon, Yeo Reum
Lee, Dong Won
Park, Hyung Seok
Lew, Dae Hyun
Roh, Tae Suk
Song, Seung Yong

DOI
10.5999/aps.2021.00703
URN
urn:nbn:de:101:1-2022072109401356399978
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
15.08.2025, 7:27 AM CEST

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Associated

  • Jung, Ji Hyuk
  • Jeon, Yeo Reum
  • Lee, Dong Won
  • Park, Hyung Seok
  • Lew, Dae Hyun
  • Roh, Tae Suk
  • Song, Seung Yong

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