Expanding the Criteria for Robotic Deep Inferior Epigastric Perforator Flaps: Case Report With Long Intramuscular Course

Summary:. Robotic harvest of the deep inferior epigastric perforator flap is gaining traction among plastic surgeons. However, its use is often limited to cases with short intramuscular length of the perforator (<4 cm) due to the need for a larger anterior fascial incision. We present a case of r...

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Main Authors: Diwakar Phuyal, MBBS, Osama Darras, MD, Raffi Gurunian, MD, PhD, Risal Djohan, MD, Graham Schwarz, MD, MSE, FACS, Clayton Petro, MD, Lucas Beffa, MD, Sarah N. Bishop, MD, FACS
Format: Article
Language:English
Published: Wolters Kluwer 2025-07-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006982
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Summary:Summary:. Robotic harvest of the deep inferior epigastric perforator flap is gaining traction among plastic surgeons. However, its use is often limited to cases with short intramuscular length of the perforator (<4 cm) due to the need for a larger anterior fascial incision. We present a case of robotic-assisted transabdominal preperitoneal harvest of a 15-cm pedicle, including 9.1 cm intramuscular, through a 3.5-cm fascial incision. The patient had an uneventful intraoperative and postoperative course. Robotic deep inferior epigastric perforator harvest aims to reduce donor-site morbidity but has been limited to cases with a short intramuscular course. Using robotics instead of the open approach for intramuscular course dissection can expand its application by reducing the anterior rectus fascia incision.
ISSN:2169-7574