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Robotic harvesting of the omental flap: a case report and mini-review of the use of robots in reconstructive surgery

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Abstract

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.

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Acknowledgments

This study was supported by the Akdeniz University Scientific Research Projects Unit. We thank them for their support.

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Correspondence to Ömer Özkan.

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O. Ozkan has no conflict of interest. O. Ozkan has no conflicts of interest. A. Cinpolat has no conflicts of interest. C. Arici has no conflicts of interest. G. Bektas has no conflicts of interest. MC. Ubur has no conflicts of interest.

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Özkan, Ö., Özkan, Ö., Çinpolat, A. et al. Robotic harvesting of the omental flap: a case report and mini-review of the use of robots in reconstructive surgery. J Robotic Surg 13, 539–543 (2019). https://doi.org/10.1007/s11701-019-00949-8

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  • DOI: https://doi.org/10.1007/s11701-019-00949-8

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