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Updated: May 11, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Experience-Based Procedure Card for Robot-Assisted Nipple Sparing Mastectomy Using the SSI Mantra, Indian Robotic
Somashekhar Sp1, Medha Sugara2, Ashwin Kr1
1Department of Surgical Oncology, Aster International Institute of Oncology, Aster Hospital, Bengaluru, Karnataka 560092 India.
Abstract:
The SSI MANTRA™ (Sudhir Srivastava Innovations Pvt. Ltd, Haryana, India) robotic surgical system developed in India has been used to perform various complex procedures of the abdomen and thorax. The robot-assisted nipple sparing mastectomy (RANSM) described by Toesca et al. is different from these procedures because it utilizes a confined working space created in the soft tissue of the breast and has been described on the da Vinci Intuitive Surgical System. We performed the procedure of RANSM in a woman with early breast cancer using the SSI MANTRA™ and found it feasible. Case selection, docking, and surgical technique are described here.
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