Robot geassisteerde microchirurgische vrije lap reconstructie van de onderste extremiteit: een haalbaarheidsstudie

Lower extremity reconstruction is a field of plastic surgery that aims to restoring/maintaining limb function as well as ensuring optimal cosmetic outcomes. Recent advances in plastic surgical technique as well as the introduction of microvascular free tissue transfer has revolutionized this field, allowing the salvage of limbs that would have otherwise been amputated. Free tissue transfer is often needed when there is significant soft tissue loss with exposed bone, tendon, and blood vessels. Currently this operation is done by hand, were the hand is the limiting factor performing this technique. In cooperation with the Technical University in Eindhoven, and Maastricht University Medical Center, a new robotic platform has been developed. The primary objective of this study is to demonstrate the clinically applicable use of robotic-assistance in lower extremity free-flap reconstruction.

A newly, dedicated robotic system for (super)microsurgery can increase efficiency and precison of microsurgical skills.

Primary and secondary outcomes will be assessed during (and after) surgery.

Robotic-assisted anastomose of the artery/veins/nerves of the free flap to reconstruction site