Robotic harvesting of the omental flap: a case report and mini-review of the use of robots in reconstructive surgery
This study describes the robotic harvesting of a free omental flap. The patient was a 58-year-old man who had undergone several previous operations due to osteomyelitis caused by trauma. There was a non-healing wound and purulent discharge in the distal pretibial region. The flap was harvested based...
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| Veröffentlicht in: | Journal of robotic surgery 2019-08, Vol.13 (4), p.539-543 |
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| container_title | Journal of robotic surgery |
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| creator | Özkan, Ömer Özkan, Özlenen Çinpolat, Anı Arıcı, Cumhur Bektaş, Gamze Can Ubur, Mehmet |
| description | This study describes the robotic harvesting of a free omental flap. The patient was a 58-year-old man who had undergone several previous operations due to osteomyelitis caused by trauma. There was a non-healing wound and purulent discharge in the distal pretibial region. The flap was harvested based on the right gastroepiploic artery using robotic facilities only. The flap was then transferred to the debrided defect in the pretibial region. Anastomoses were performed between the posterior tibial vessels and the pedicle of the flap. A split thickness skin graft was used to cover the omental flap. The operation lasted 2.5 h in total, including flap harvesting, microvascular anastomoses, inset and skin grafting. The postoperative period was uneventful and the patient was discharged on the 12th day postoperatively. The reliability of the technique is discussed in this report, together with a brief review of the use of robot surgery in reconstructive surgery in the literature. |
| doi_str_mv | 10.1007/s11701-019-00949-8 |
| format | Article |
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The patient was a 58-year-old man who had undergone several previous operations due to osteomyelitis caused by trauma. There was a non-healing wound and purulent discharge in the distal pretibial region. The flap was harvested based on the right gastroepiploic artery using robotic facilities only. The flap was then transferred to the debrided defect in the pretibial region. Anastomoses were performed between the posterior tibial vessels and the pedicle of the flap. A split thickness skin graft was used to cover the omental flap. The operation lasted 2.5 h in total, including flap harvesting, microvascular anastomoses, inset and skin grafting. The postoperative period was uneventful and the patient was discharged on the 12th day postoperatively. 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The patient was a 58-year-old man who had undergone several previous operations due to osteomyelitis caused by trauma. There was a non-healing wound and purulent discharge in the distal pretibial region. The flap was harvested based on the right gastroepiploic artery using robotic facilities only. The flap was then transferred to the debrided defect in the pretibial region. Anastomoses were performed between the posterior tibial vessels and the pedicle of the flap. A split thickness skin graft was used to cover the omental flap. The operation lasted 2.5 h in total, including flap harvesting, microvascular anastomoses, inset and skin grafting. The postoperative period was uneventful and the patient was discharged on the 12th day postoperatively. The reliability of the technique is discussed in this report, together with a brief review of the use of robot surgery in reconstructive surgery in the literature.</description><subject>Abdomen</subject><subject>Brachial plexus</subject><subject>Cameras</subject><subject>Dissection</subject><subject>Laparoscopy</subject><subject>Laparotomy</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Minimally Invasive Surgery</subject><subject>Morbidity</subject><subject>Plastic surgery</subject><subject>Postoperative period</subject><subject>Reconstructive surgery</subject><subject>Review Article</subject><subject>Robotic surgery</subject><subject>Robots</subject><subject>Skin grafts</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Urology</subject><subject>Wound healing</subject><issn>1863-2483</issn><issn>1863-2491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp9kUlPJSEUhYlp4_wHXHRIeuOmlFsUD3DXMe2QmJgYXROgKMVUwWugXsd_L_ockl644iZ859zhIHQI5BgI4ScZgBNoCMiGENnJRmygHRAL2rSdhB-ftaDbaDfnJ0IYZxS20DYlEkCIbgeV22hi8RY_6rRyufjwgOOAy6PDcXKh6BEPo16eYo2tzg4nt4ypYB16PPngm-RW3v37kMyVqGV69czYh4rbGHJJsy1-5XCe04NLz_toc9Bjdgfv7x66P_9zd3bZXN9cXJ39vm4s5aw0bGHAsl73zIrBGtK30ljoDOs07VozOCK4psZIIzTjdc-OtUa3hC6o5kRTuoeO1r7LFP_OdTs1-WzdOOrg4pxVC5ILwbnkFf31H_oU5xTqdKqVIDhweKPaNWVTzDm5QS2Tn3R6VkDUayZqnYmqmai3TJSoop_v1rOZXP8p-QihAnQN5PoV6oG-en9j-wJrW5fs</recordid><startdate>20190801</startdate><enddate>20190801</enddate><creator>Özkan, Ömer</creator><creator>Özkan, Özlenen</creator><creator>Çinpolat, Anı</creator><creator>Arıcı, Cumhur</creator><creator>Bektaş, Gamze</creator><creator>Can Ubur, Mehmet</creator><general>Springer London</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>L6V</scope><scope>M0S</scope><scope>M7S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>7X8</scope></search><sort><creationdate>20190801</creationdate><title>Robotic harvesting of the omental flap: a case report and mini-review of the use of robots in reconstructive surgery</title><author>Özkan, Ömer ; 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| subjects | Abdomen Brachial plexus Cameras Dissection Laparoscopy Laparotomy Medicine Medicine & Public Health Minimally Invasive Surgery Morbidity Plastic surgery Postoperative period Reconstructive surgery Review Article Robotic surgery Robots Skin grafts Surgeons Surgery Urology Wound healing |
| title | Robotic harvesting of the omental flap: a case report and mini-review of the use of robots in reconstructive surgery |
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