Intraoperative Surgical Guidance for DIEP Flap Harvest Using Augmented Reality

Augmented reality systems for surgical navigation provide the capability to project preoperative computed tomographic scans and segmented anatomical structures directly into the surgeon's field of view, along with virtual displays akin to traditional monitors. Using the Meta Quest 3 consumer augmented reality headset, the authors found that it can achieve clinically acceptable accuracy in surgical navigation for deep inferior epigastric perforator operations. Notably, the Quest 3 can operate independently because of a novel registration technique using hand tracking, suitable for use in sterile environments.