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: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2025-07-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006982 |
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| author | 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 |
| author_facet | 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 |
| author_sort | Diwakar Phuyal, MBBS |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-9f77c7d5835b4b4292aff9ecdeff5670 |
| institution | DOAJ |
| issn | 2169-7574 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj-art-9f77c7d5835b4b4292aff9ecdeff56702025-08-20T02:45:46ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-07-01137e698210.1097/GOX.0000000000006982202507000-00043Expanding the Criteria for Robotic Deep Inferior Epigastric Perforator Flaps: Case Report With Long Intramuscular CourseDiwakar Phuyal, MBBS0Osama Darras, MD1Raffi Gurunian, MD, PhD2Risal Djohan, MD3Graham Schwarz, MD, MSE, FACS4Clayton Petro, MD5Lucas Beffa, MD6Sarah N. Bishop, MD, FACS7From the * Integrated Surgical Institute, Cleveland Clinic, Cleveland, OhioFrom the * Integrated Surgical Institute, Cleveland Clinic, Cleveland, Ohio† Department of Plastic And Reconstructive Surgery, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.From the * Integrated Surgical Institute, Cleveland Clinic, Cleveland, OhioFrom the * Integrated Surgical Institute, Cleveland Clinic, Cleveland, OhioFrom the * Integrated Surgical Institute, Cleveland Clinic, Cleveland, OhioFrom the * Integrated Surgical Institute, Cleveland Clinic, Cleveland, OhioFrom the * Integrated Surgical Institute, Cleveland Clinic, Cleveland, OhioSummary:. 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.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006982 |
| spellingShingle | 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 Expanding the Criteria for Robotic Deep Inferior Epigastric Perforator Flaps: Case Report With Long Intramuscular Course Plastic and Reconstructive Surgery, Global Open |
| title | Expanding the Criteria for Robotic Deep Inferior Epigastric Perforator Flaps: Case Report With Long Intramuscular Course |
| title_full | Expanding the Criteria for Robotic Deep Inferior Epigastric Perforator Flaps: Case Report With Long Intramuscular Course |
| title_fullStr | Expanding the Criteria for Robotic Deep Inferior Epigastric Perforator Flaps: Case Report With Long Intramuscular Course |
| title_full_unstemmed | Expanding the Criteria for Robotic Deep Inferior Epigastric Perforator Flaps: Case Report With Long Intramuscular Course |
| title_short | Expanding the Criteria for Robotic Deep Inferior Epigastric Perforator Flaps: Case Report With Long Intramuscular Course |
| title_sort | expanding the criteria for robotic deep inferior epigastric perforator flaps case report with long intramuscular course |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006982 |
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