Single-Port Robotic Surgery for Breast Reconstruction

((DIEP) Trial)

JJ
Overseen ByJordan Johnson, BS
Age: 18+
Sex: Female
Trial Phase: Academic
Sponsor: Vanderbilt University Medical Center
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores a new method for breast reconstruction surgery using a single-port robotic system. The goal is to determine the feasibility and effectiveness of this technique, focusing on surgery success, incision size, and patient comfort post-surgery. It suits women needing breast reconstruction who have sufficient abdominal tissue for donation. As an unphased trial, this study provides a unique opportunity to contribute to pioneering research in surgical innovation.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the research team or your doctor.

What prior data suggests that this single-port robotic surgery is safe for breast reconstruction?

Research has shown that a single-port robotic-assisted method for the DIEP flap procedure is a well-established option for breast reconstruction. Studies on similar robotic-assisted techniques suggest they can lessen pain and reduce the need for painkillers after surgery, enhancing patient comfort during recovery.

The DIEP flap method has long been used in breast reconstruction and is known for its reliability and effectiveness. Robotic assistance in this surgery may enhance surgical precision, potentially reducing complications.

While specific data on the single-port approach is still being collected, existing research on robotic-assisted methods appears promising for patient safety.12345

Why are researchers excited about this trial?

Single-port robotic-assisted breast reconstruction is unique because it offers a less invasive way to perform the surgery needed for DIEP flap breast reconstruction. Traditional methods involve larger incisions and more extensive manual techniques, which can lead to longer recovery times and more noticeable scarring. In contrast, this robotic approach uses a single small incision, which could mean quicker recovery, reduced pain, and less visible scarring. Researchers are excited because this method has the potential to significantly improve patient experience and outcomes in breast reconstruction.

What evidence suggests that single-port robotic surgery is effective for breast reconstruction?

Research has shown that a robotic method for DIEP flap breast reconstruction, which participants in this trial will receive, reduces the risk of flap failure and complications. Studies indicate that patients recover better, experiencing less pain and shorter hospital stays compared to traditional methods. The robotic technique allows for greater precision, potentially leading to higher success rates and satisfaction with the procedure. These findings suggest that robotic-assisted surgery could be a promising option for breast reconstruction.23678

Who Is on the Research Team?

GP

Galen Perdiks, MD

Principal Investigator

Vanderbilt University Medical Center

Are You a Good Fit for This Trial?

This trial is for women over 18 needing breast reconstruction with DIEP flap, who have enough abdominal tissue and no general anesthesia or robotic surgery contraindications. Exclusions include BMI >35, prior surgeries affecting vessels, active cancers besides breast cancer, metastatic disease, and inability to follow up.

Inclusion Criteria

I am a woman aged 18 or older.
I am a candidate for breast reconstruction using tissue from my abdomen.
I can safely undergo general anesthesia and robotic surgery.
See 1 more

Exclusion Criteria

Inability to comply with follow-up visits
Pregnant woman
Prisoners
See 6 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks
1 visit (in-person)

Preoperative Consultation

Eligible patients receive detailed information about the study, including surgical techniques, potential risks, and benefits. Written informed consent is obtained.

1 day
1 visit (in-person)

Surgery and Immediate Postoperative Care

Patients undergo robotic-assisted DIEP flap harvest using single-port access, followed by flap transfer and microsurgical anastomosis. Post-surgical donor site closure is performed.

1 day
Hospital stay

Postoperative Monitoring

Monitoring focuses on flap viability and patient recovery, including assessments of complications, donor site integrity, pain levels, and patient-reported outcomes.

7 days
Daily monitoring during hospital stay

Follow-up

Participants are monitored for short- and long-term outcomes, including satisfaction and quality of life. Follow-up visits evaluate both short- and long-term outcomes.

12 months
Follow-up visits at 2 weeks, 6 weeks, 3 months, 6 months, and 12 months

What Are the Treatments Tested in This Trial?

Interventions

  • Single-Port Robotic-Assisted Deep Inferior Epigastric Pedicle Flap Harvest
Trial Overview The study tests the feasibility of using a single-port robotic system for harvesting DIEP flaps in breast reconstruction. It will assess procedure complications, incision size, flap success rate, postoperative pain levels, vascular pedicle features and patient satisfaction via VMP-B score.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: Robotic Assisted DIEP Breast ReconstructionExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Vanderbilt University Medical Center

Lead Sponsor

Trials
922
Recruited
939,000+

Intuitive Surgical

Industry Sponsor

Trials
80
Recruited
49,600+

Gary Guthart

Intuitive Surgical

Chief Executive Officer since 2010

PhD in Engineering, California Institute of Technology

Henry Charlton

Intuitive Surgical

Chief Medical Officer since 2023

MD from an unspecified institution

Citations

Advancing DIEP Flap Surgery: Robotic-Assisted Harvest ...In this limited retrospective study, the use of the robotic DIEP flap lowers chances of flap failure and complications, while also improving ...
Implementing the Robotic deep inferior epigastric ...We present the largest case series of robotic DIEP flap reconstructions for delayed and immediate autologous breast reconstruction through a transabdominal ...
Clinical outcomes following robotic versus conventional ...This study suggests that a robotic DIEP flap offers enhanced postoperative recovery, accompanied by a reduction in postoperative pain and hospital stay.
Robotic‐assisted deep inferior epigastric perforator (DIEP) ...Herein, we present the first experience of a robotic-assisted DIEP flap harvest in Australia and New Zealand. A 46-year-old female with BRCA1 ...
Feasibility and Safety of Single-Port Robotic-Assisted Deep ...The primary aim of this study is to evaluate the feasibility of single-port robotic surgery for DIEP flap breast reconstruction.
Feasibility and Safety of Single-Port Robotic-Assisted Deep ...The primary aim of this study is to evaluate the feasibility of single-port robotic surgery for DIEP flap breast reconstruction.
7.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/36416707/
Robotic-Assisted Harvest of Deep Inferior Epigastric Flap ...Deep inferior epigastric perforator (DIEP) flap harvesting has a long track record as a viable procedure for autologous reconstruction of the breast.
Robotic-Assisted Harvest Reduces Pain and Narcotic UsePatient procedure demographics and procedure details for autologous breast reconstruction in robotic deep inferior epigastric artery perforator (DIEP) flap ...
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