Feasibility and Safety of Single-Port Robotic-Assisted DIEP Flap Harvest for Breast Reconstruction: A Prospective Evaluation
Vanderbilt University Medical Center
Summary
The primary aim of this study is to evaluate the feasibility of single-port robotic surgery for DIEP flap breast reconstruction. The investigators will also investigate complications of the procedure, incision length, flap success rate, post operative pain, vascular pedicle length and caliber, and VMP-B score (quality of life/satisfaction of breast procedures survey).
Description
This project will be conducted at Vanderbilt University Medical Center. Patients scheduled for a DIEP flap procedure will be recruited through screening of the electronic medical records (EMR) to evaluate eligibility based on pre-established inclusion and exclusion criteria. Eligible patients will be invited to participate in a preoperative consultation, during which they will receive detailed information about the study, including the surgical techniques, potential risks, and benefits. Written informed consent will be obtained from those who agree to participate. Baseline data available in t…
Eligibility
- Age range
- 18+ years
- Sex
- Female
- Healthy volunteers
- No
Inclusion Criteria: * Female patients aged ≥18 years. * Candidates for unilateral or bilateral breast reconstruction using a DIEP flap. * No contraindications for general anesthesia or robotic surgery. * Patients with adequate abdominal donor tissue for DIEP flap harvest. Exclusion Criteria: * History of prior abdominal surgery that significantly compromises perforator vessel integrity. * Pregnant woman. * Prisoners. * BMI \> 35, as measured during the preoperative evaluation. * Presence of comorbidities that contraindicate elective surgery. * Active cancer other than breast cancer at the t…
Interventions
- DeviceSingle-Port Robotic System
Utilizing the Single-Port robotic system for DIEP flap harvest has been previously described, but only in a small pilot study. The investigators plan to demonstrate the feasibility and safety of this approach on a larger cohort of patients.
Location
- Vanderbilt University Medical CenterNashville, Tennessee