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Case Reports
. 2021 Feb 23;14(2):e237887.
doi: 10.1136/bcr-2020-237887.

Robotic omental flap harvest for near-total anterior chest wall coverage: a potential application of robotic techniques in plastic and reconstructive surgery

Serena Jingxi Day  1 , Benzon Dy  2 , Minh-Doan Nguyen  2
Affiliations
Case Reports

Robotic omental flap harvest for near-total anterior chest wall coverage: a potential application of robotic techniques in plastic and reconstructive surgery

Serena Jingxi Day et al. BMJ Case Rep. .

Abstract

We present the robotic harvest of a pedicled omentum flap for reconstruction of a near-total anterior chest wall defect. The patient was a 68-year-old woman with recurrent secondary chest wall angiosarcoma after previous mastectomy and radiation therapy. She underwent neoadjuvant chemotherapy and radiation, followed by wide radical chest wall resection with a final defect size of 15×35 cm. A one-stage reconstruction was performed with an omentum flap harvested by robotic technique and split-thickness skin grafts from thigh donor sites. The patient healed with minimal complications. Our case supports more widespread application of robotics in plastic and reconstructive surgery.

Keywords: breast surgery; plastic and reconstructive surgery; surgery.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Patient after completion of neoadjuvant chemotherapy and radiation for recurrent secondary angiosarcoma.
Figure 2
Figure 2
Chest wall area marked for surgical resection.
Figure 3
Figure 3
Three weeks after surgical resection and vacuum-assisted closure therapy, showing extensive defect with rib exposure.
Figure 4
Figure 4
Chest wall defect reconstructed with omentum flap and split-thickness skin grafts. Flap is shown here after VAC takedown.
Figure 5
Figure 5
Eleventh week postoperative result. The flap and skin grafts are healed.
See this image and copyright information in PMC

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