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April 12, 2026Plastic & Reconstructive Surgery Global OpenOpen Access

Comparison of Robotic-assisted and Conventional Deep Inferior Epigastric Perforator Flaps: A Retrospective Cohort Study

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Authors

LCLaetitia S ChiarellaKWKai J. WesselCVCharalampos Varnava

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Overview

Retrospective cohort study evaluates robotic vs. conventional techniques in breast reconstruction, suggesting similar outcomes.

Key Points

  • This research compares the noninferiority of robotic-assisted anastomoses and conventional methods in DIEP flap breast reconstruction.
  • Included 68 patients undergoing DIEP flap breast reconstruction from 2022 to 2024.
  • Classified primary exposure by surgical technique: conventional, robotic conventional, and robotic perforator-to-perforator.
  • Evaluated outcomes like surgical complications, hospital stay duration, and postoperative pain medication.
  • 25% of patients experienced surgical complications without significant differences between groups (P = 0.41).
  • No significant difference in hospital length of stay (P = 0.58).
  • Patients with robotic perforator surgery required lower morphine equivalent doses postoperatively (P = 0.001).

Cite This Study

Chiarella et al. (2026) studied this question.

synapsesocial.com/papers/69db36c24fe01fead37c4bc5https://doi.org/10.1097/gox.0000000000007575
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Robotic-Assisted Versus Conventional DIEP Flap Breast Reconstruction: A Critical Review of the Current Literature2026
  2. 2Minimally Invasive Robotic-assisted Perforator-to-Perforator DIEP Flap Breast Reconstruction2024 · 15 citations
  3. 3A New Era in Perforator Flap Surgery for Breast Reconstruction: A Comparative Study of Robotic versus Standard Harvest of Bilateral Deep Inferior Epigastric Artery Perforator Flaps2024 · 9 citations
  4. 4Advancing DIEP Flap Surgery: Robotic-Assisted Harvest Reduces Pain and Narcotic Use2025 · 1 citations
  5. 5Optimizing Donor Site Morbidity in DIEP Flap Reconstruction: Advancements in Minimizing Anterior Fascial Defects- A Systematic Review2025 · 4 citations