Using a Microsurgical Robotic Platform for In-flap Anastomosis in Autologous Bipedicular Breast Reconstruction

• DOI: 10.1097/gox.0000000000005511
• Publication Date: 2024-01-10T13:00:40Z
• Authors: Felix H. Vollbach; Amir K. Bigdeli; Felix Struebing; Jonathan L. Weigel; Emre Gazyakan; Ulrich Kneser
• Keywords: 03 medical and health sciences; 0302 clinical medicine; RD1-811; Surgery; Breast

Summary: Autologous microsurgical breast reconstruction has become a standard of care. As techniques more individualized and aim for less-invasive approaches, vessels ever smaller in diameter are considered flap anastomosis. Robot-assisted surgery great potential to reduce tremor enhance precise motion. The Symani Surgical System (Medical Microinstruments, Inc., Wilmington, Del.) is robotic platform designed microsurgery. It was used in-flap anastomosis bipedicular deep inferior epigastric artery unilateral reconstruction. procedure included fully robot-assisted anastomoses with significant size mismatches using 3D-exoscope magnification. Arterial venous were entirely completed 23 minutes (seven stitches) 28 (eight 9/0 nylon sutures. intra- postoperative course uneventful. This facilitates small by increasing the precision instrument handling eliminating tremor. combination platforms exoscopes provides superior ergonomics comparison conventional (super)microsurgery. We expect play role modern