Robotics in plastic surgery, a review

Ibrahim, Amir; Sarhane, Karim A.; Baroud, Joe; Atiyeh, Bishara S.

doi:10.1007/s00238-012-0737-8

Cited by 11 publications

(7 citation statements)

References 51 publications

(82 reference statements)

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“…La disección y toma del colgajo se hicieron de la manera convencional, el robot se usó para completar la adventectomía y las anastomosis microvasculares. 5 El primer reporte de seis anastomosis microvasculares en ratas mostró un tiempo significativamente menor contra las anastomosis convencionales, sin mostrar diferencia en cuanto a fallas técnicas. 6 En 2010 se introdujo la disección con robot del músculo dorsal ancho posterior a su investigación en modelos de cadáver.…”

Section: Historiaunclassified

Robótica: una nueva rama en cirugía plástica

Oviedo-García¹,

Matabuena-Tamez²,

Canepa-Fernández³

et al. 2021

Cirugía Plástica

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Section: Historiaunclassified

Robótica: una nueva rama en cirugía plástica

Oviedo-García¹,

Matabuena-Tamez²,

Canepa-Fernández³

et al. 2021

Cirugía Plástica

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“…Robotic surgery has emerged during the past two decades as an innovative, minimally invasive technology. 17 With enhanced precision, tremor elimination, motion scaling, high resolution, three-dimensional (3D) optics as well as an intuitive interface, it has found multiple applications across several surgical subspecialties. [18][19][20][21] Additionally, for some procedures it has resulted in less blood loss, fewer transfusions, decreased postoperative pain, less risk of infection, a shorter hospital stay, less scarring, and a more rapid recovery and return to activities of daily living.…”

Section: Robotic Harvest Techniquementioning

confidence: 99%

Robotic Harvest of the Rectus Abdominis Muscle: Principles and Clinical Applications

Ibrahim

Sarhane

Pederson³

et al. 2014

Seminars in Plastic Surgery

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The rectus abdominis muscle is a workhorse flap for reconstructing challenging defects. Owing to its strategic location in the abdomen with a dual blood supply and wide arc of transposition, it can provide substantial coverage and a large volume for obliterating dead spaces while maintaining a reliable vascular supply. Using traditional approaches, however, its harvest has the potential for donor-site morbidity. We have previously highlighted the advantages of using the robot for harvesting the latissimus dorsi muscle flap.1-3 In this review, we discuss the applicability of this novel approach to muscle harvest for a minimally invasive harvest of the rectus abdominis muscle flap. Main SectionVersatile Flap: Dual Blood SupplyThe rectus abdominis muscle flap has two major blood supplies: the superior epigastric artery and its associated venous drainage system, which provides a cephalic arc of rotation, and the inferior epigastric artery and veins, which provide a caudal arc of rotation. It has thus found applications in perineal, 4 extremity, 5 chest wall, 6 and even head and neck reconstruction. 7,8 Complications of the Traditional Harvest TechniqueHarvest of the rectus muscle is typically performed through a vertical, paramedian skin incision, followed by vertical division of the anterior rectus sheath along the length of the muscle (►Fig. 1). This technique is both aesthetically undesirable and is associated with donor-site morbidity, including wound infection, seroma, abdominal bulge, and hernia. Reported bulge rates are between 1.7 and 4% with hernia rates between 0.85 and 2.9%. 9-12 Overall surgical-site morbidity may be as high as 8.5 to 14.3%. 9,12 Minimally invasive harvest of the rectus abdominis muscle without violation of the anterior rectus sheath is a desirable goal. This approach might not only circumvent the surgical complications associated with the traditional approach, but could also allow for Keywords► robotic surgery ► rectus abdominis muscle flap ► minimally invasive surgery AbstractHarvest of the rectus abdominis muscle requires an abdominal incision as well as violation of the anterior rectus sheath, creating the potential for significant surgicalsite morbidity (bulges, hernias, infections, seromas). Laparoscopic or endoscopic techniques, although feasible, have not become popular among plastic surgeons due to multiple technical shortcomings. Robotic surgery on the other hand has an easier learning curve, enhanced precision, tremor elimination, motion scaling, high resolution, three-dimensional optics and an intuitive interface. As a result of these advantages, robotic surgery has permeated into the plastic surgery specialty, assuming a role in the harvest of the latissimus dorsi muscle flap and other reconstructive procedures. In this review, the authors discuss its applicability in the harvest of the rectus abdominis muscle.

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“…Nowadays, three-dimensional (3D) surface imaging is being implemented in various healthcare and non-healthcare areas, such as anthropology, reconstructive surgery, craniofacial surgery and orthodontics. One of the surface imaging techniques being used more and more is 3D stereophotogrammetry [ 1 , 2 ]. Within the broad field of reconstructive surgery, it has already found solid applications in maxillofacial surgery [ 3 – 6 ] and is upcoming in breast and free flap reconstructive surgery [ 5 , 7 – 11 ].…”

Section: Introductionmentioning

confidence: 99%

Development of a Three-Dimensional Hand Model Using Three-Dimensional Stereophotogrammetry: Assessment of Image Reproducibility

et al. 2015

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PurposeUsing three-dimensional (3D) stereophotogrammetry precise images and reconstructions of the human body can be produced. Over the last few years, this technique is mainly being developed in the field of maxillofacial reconstructive surgery, creating fusion images with computed tomography (CT) data for precise planning and prediction of treatment outcome. Though, in hand surgery 3D stereophotogrammetry is not yet being used in clinical settings.MethodsA total of 34 three-dimensional hand photographs were analyzed to investigate the reproducibility. For every individual, 3D photographs were captured at two different time points (baseline T0 and one week later T1). Using two different registration methods, the reproducibility of the methods was analyzed. Furthermore, the differences between 3D photos of men and women were compared in a distance map as a first clinical pilot testing our registration method.ResultsThe absolute mean registration error for the complete hand was 1.46 mm. This reduced to an error of 0.56 mm isolating the region to the palm of the hand. When comparing hands of both sexes, it was seen that the male hand was larger (broader base and longer fingers) than the female hand.ConclusionsThis study shows that 3D stereophotogrammetry can produce reproducible images of the hand without harmful side effects for the patient, so proving to be a reliable method for soft tissue analysis. Its potential use in everyday practice of hand surgery needs to be further explored.

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Robotics in plastic surgery, a review

Cited by 11 publications

References 51 publications

Robótica: una nueva rama en cirugía plástica

Robótica: una nueva rama en cirugía plástica

Robotic Harvest of the Rectus Abdominis Muscle: Principles and Clinical Applications

Development of a Three-Dimensional Hand Model Using Three-Dimensional Stereophotogrammetry: Assessment of Image Reproducibility

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