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Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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Redefining Reconstruction: Technological Innovations in Microsurgical Breast Reconstruction
Nicole E Speck1,2, Jian Farhadi2,3
1Department of Plastic Surgery, University Hospital Basel, 4031 Basel, Switzerland.
Cancers
|December 11, 2025
Summary
Innovative technologies are enhancing microsurgical breast reconstruction. Advances in flap planning, harvest, anastomosis, and monitoring improve surgical precision, safety, and patient outcomes.
Area of Science:
- Plastic Surgery
- Microsurgery
- Medical Technology
Background:
- Microsurgical breast reconstruction is evolving with new technologies.
- Innovations aim to improve surgical precision, safety, and outcomes.
Purpose of the Study:
- To review recent technological advancements in microsurgical breast reconstruction.
- To highlight innovations across four key surgical phases.
Main Methods:
- Narrative review of "Aesthetic and Reconstructive Breast Surgery Network" content.
- Screening for new technologies in flap planning, harvest, anastomosis, and monitoring.
- Supplemented by MEDLINE database searches.
Main Results:
- CT angiography and AI mapping enhance surgical planning.
- Robotic-assisted techniques improve deep inferior epigastric perforator (DIEP) flap harvest.
- Robotic microsurgery enables precise vessel suturing; Indocyanine green (ICG) angiography is key for intraoperative perfusion.
- Continuous monitoring devices (Doppler probes, wireless oximetry) aid postoperative surveillance.
Conclusions:
- Technological innovations are significantly transforming microsurgical breast reconstruction.
- These advancements increase efficiency, consistency, and improve patient outcomes.
Keywords:
anastomosisartificial intelligenceaugmented realitymammoplastymicrosurgeryrobotic surgical proceduressurgical
