PLASTIC AND RECONSTRUCTIVE SURGERY USING SUBCUTANEOUS ENDOSCOPY

Main Article Content

Purushottam Kumar
Sadaf Siddique
Meraj Ahmed
Vidyapati Choudhary

Keywords

endoscopy, plastic and reconstructive surgery, reduced access

Abstract

Background: The majority of patients are discouraged from having reconstructive surgery because of the scar that it leaves behind. Subcutaneous endoscopic surgery is meant to resolve this problem; it can minimize the size and visibility of the scar as well as give better access to the performance of the surgery. This study is a case series where subcutaneous endoscopic methodology was employed to address the problems of reconstructive surgery. The single and two-port technique was used to simplify muscle harvesting in the procedure.


Methods: A 4 mm and 30-degree side viewing telescope, cold light source, sheath, and an optical camera were employed in the single port endoscopic technique. Post-operative pain, access to the incision, complications, and patient satisfaction were reviewed in the case records.


Result: In all the 201 surgeries performed endoscopically, only one of the complications was found during the procedure, which was transient nerve palsy, which was completely resolved later. One of the patients also reported post-operative pain, which was managed with minimal amounts of analgesic drugs. Intraoperative bleeding was reduced significantly compared to conventional reconstructive procedures. All the single-port endoscopic surgeries were successful, with high patient satisfaction.


Conclusion: High patient satisfaction and reduced scar visibility were reported when subcutaneous endoscopic surgeries were performed instead of conventional reconstructive surgeries.

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References

1 Hallock GG. A brief history of minimally invasive plastic surgery. Semin Plast Surg 2008;22(1):5–7
2 Chow JC. Endoscopic release of the carpal ligament: a new technique for carpal tunnel syndrome. Arthroscopy 1989;5(1):19–24
3 Core GB, Vasconez LO, Graham HD II. Endoscopic browlift. Clin Plast Surg 1995;22(4):619–631
4 Ho LC. Endoscopic assisted transaxillary augmentation mammaplasty. Br J Plast Surg 1993;46(4):332–336
5 Johnson GW, Christ JE. The endoscopic breast augmentation: the transumbilical insertion of saline-filled breast implants. Plast Reconstr Surg 1993;92(5):801–808
6 Ramirez OM. Endoscopic full facelift. Aesthetic Plast Surg 1994;18(4):363–371
7 Iglesias M, Bravo L, Chavez-Muñoz C, Barajas-Olivas A. Endoscopic abdominoplasty: an alternative approach. Ann Plast Surg 2006;57(5):489–494
8 Huang MH, Cohen SR, Burstein FD, Simms CA. Endoscopic pediatric plastic surgery. Ann Plast Surg 1997;38(1):1–8
9 Hallock GG. An endoscopic technique for decompressive fasci- otomy. Ann Plast Surg 1999;43(6):668–670
10 Hallock GG. Tendon-graft harvest using endoscopic guidance. Plast Reconstr Surg 1996;97(5):1057–1061
11 Hallock GG, Rice DC. An endoscopic subcutaneous dissector for obtaining vein grafts. Ann Plast Surg 1998;41(6):595–599
12 Hallock GG. Endoscopic retrieval of the sural nerve. J Reconstr Microsurg 1995;11(5):347–350
13 Swain B. Transaxillary endoscopic release of restricting bands in congenital muscular torticollis–a novel technique. J Plast Reconstr Aesthet Surg 2007;60(1):95–98
14 Dutta S, Slater B, Butler M, Albanese CT. “Stealth surgery”: transaxillary subcutaneous endoscopic excision of benign neck lesions. J Pediatr Surg 2008;43(11):2070–2074
15 Lee CH, Lee C, Trabulsy PP. Endoscopic-assisted repair of a malar fracture. Ann Plast Surg 1996;37(2):178–183
16 Serra JM, Benito JR, Monner J, Zayuelas J, Párraga A. Tissue expansion with endoscopy. Ann Plast Surg 1997;38(2):101–108
17 Hallock GG. Adipofascial flap harvest using endoscopic assis- tance. Ann Plast Surg 1997;38(6):649–652
18 Hallock GG. Minimally invasive harvest of the gracilis muscle. Plast Reconstr Surg 1999;104(3):801–805
19 Miller MJ, Robb GL. Endoscopic technique for free flap harvest- ing. Clin Plast Surg 1995;22(4):755–773
20 Saltz R. Endoscopic harvest of the omental and jejunal free flaps. Clin Plast Surg 1995;22(4):747–754
21 Eaves, III, F. Subcutaneous endoscopic plastic surgery using a retractor-mounted endoscopic system. Perspect Plast Surg 1993;7:1–22