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  Indian J Med Microbiol
 

Figure 2: Operative pictures taken for representative techniques for robotic nipple sparing mastectomy and immediate prosthetic breast reconstruction (IPBR). (a) This 57-year-old female with bilateral breast cancer indicated for bilateral Robotic nipple sparing mastectomy and IPBR. Preoperative front view. (b) Postoperation 1.5 months front view, the bilateral breast was symmetry and nipple areolar complex was well perfused. The wound could not be found in the front view. (c) Postoperative 1.5 months right lateral view, showed the wound was small and hidden in the inconspicuous axillary region. (d) Postoperative 1.5 months left lateral view, showed the wound was small and hidden in the inconspicuous axillary region. (e) An approximately 4 cm oblique axillary incision was made for lymph node surgery and insertion of single port. The axillary skin incision length was dependent on the size of the breast to be removed, and the size of Gel implant to be inserted. (f) After creation of adequate working space, the single port (Glove Port, Nelis, Gyeonggi-do, Korea) was inserted over the operating axilla and then carbon dioxide (CO2) inflation with air pressure kept at 8 mm Hg was used to create space for mastectomy. (g) Intra-operative view showing 3-D view of skin flap dissection and sub-nipple biopsy being performed. (h) Immediate post-mastectomy view before reconstruction. After mastectomy the specimen was removed from the axillary wound, then the sub-muscular pocket, which was formed by pectoralis major, serratus anterior, and fascia of external oblique muscle, was dissected for prosthesis breast reconstruction. (i) Immediate post-breast reconstruction outcome result front view

Figure 2: Operative pictures taken for representative techniques for robotic nipple sparing mastectomy and immediate prosthetic breast reconstruction (IPBR). (a) This 57-year-old female with bilateral breast cancer indicated for bilateral Robotic nipple sparing mastectomy and IPBR. Preoperative front view. (b) Postoperation 1.5 months front view, the bilateral breast was symmetry and nipple areolar complex was well perfused. The wound could not be found in the front view. (c) Postoperative 1.5 months right lateral view, showed the wound was small and hidden in the inconspicuous axillary region. (d) Postoperative 1.5 months left lateral view, showed the wound was small and hidden in the inconspicuous axillary region. (e) An approximately 4 cm oblique axillary incision was made for lymph node surgery and insertion of single port. The axillary skin incision length was dependent on the size of the breast to be removed, and the size of Gel implant to be inserted. (f) After creation of adequate working space, the single port (Glove Port, Nelis, Gyeonggi-do, Korea) was inserted over the operating axilla and then carbon dioxide (CO2) inflation with air pressure kept at 8 mm Hg was used to create space for mastectomy. (g) Intra-operative view showing 3-D view of skin flap dissection and sub-nipple biopsy being performed. (h) Immediate post-mastectomy view before reconstruction. After mastectomy the specimen was removed from the axillary wound, then the sub-muscular pocket, which was formed by pectoralis major, serratus anterior, and fascia of external oblique muscle, was dissected for prosthesis breast reconstruction. (i) Immediate post-breast reconstruction outcome result front view