ArticlePlastic and reconstructive surgery. Global open2026
Robot-assisted Deep Inferior Epigastric Perforator Flap Breast Reconstruction: First Reported Case in the Middle East Gulf Region.
Article in Plastic and reconstructive surgery. Global open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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9 authors.
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Abstract
Despite encouraging early outcomes, robot-assisted deep inferior epigastric perforator (DIEP) reconstruction has yet to be widely adopted because of its technical complexity, cost considerations, and limited institutional experience. We report the first robot-assisted DIEP flap breast reconstruction performed in the Middle East Gulf region. A 53-year-old woman with a history of breast cancer, prior irradiation, implant-based reconstruction, and severe capsular contracture underwent robot-assisted DIEP flap reconstruction using a transabdominal preperitoneal approach. Preoperative computed tomography angiography demonstrated a short intramuscular perforator course and nontortuous pedicle anatomy. Robotic pedicle harvest was completed through a 2-cm fascial incision and three 8-mm robotic ports, with a console time of 77 minutes. The flap was successfully transferred without intraoperative complications. Postoperative recovery was uneventful, and the patient was discharged on postoperative day 3. At 5-month follow-up, there was no evidence of flap compromise, abdominal bulge, or hernia. This case demonstrates the technical feasibility of robot-assisted DIEP flap reconstruction in a carefully selected patient and highlights the successful implementation of robotic microsurgical breast reconstruction within a developing regional program. As the first reported robot-assisted DIEP flap reconstruction in the Middle East Gulf region, this report contributes to the growing but still limited global experience with robotic autologous breast reconstruction.
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