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CC BY-NC-ND 4.0 · Indian J Plast Surg 2021; 54(03): 297-301
DOI: 10.1055/s-0041-1734580
Original Article

Subcutaneous Endoscopy in Plastic and Reconstructive Surgery

Bharatendu Swain 
1   Department of Plastic Surgery, Aakar Asha Hospital, Hyderabad, India
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Abstract

Background Scar visibility is a major deterrent to patients seeking reconstructive surgery. Endoscopic surgery can address a wide range of problems, from minimizing or concealing scars to improving access and outcomes in certain situations. This case series includes a wide range of reconstructive surgery problems addressed by subcutaneous endoscopic surgery. Having one or more trained assistants is a major deterrent to the performance of endoscopic surgery by the lone practitioner. The single (or two-port technique for muscle harvest) used in most cases simplifies subcutaneous endoscopic surgery.

Methods A single-port endoscopy technique, with a 4-mm, 30-degree side viewing telescope and sheath, optical camera and cold light source, was used. Case records were reviewed for access incisions, procedure abandonment, postoperative pain, complications, and patient satisfaction.

Results A total of 53 endoscopic surgical episodes between 2003 and 2013 were reviewed. Using a single port, most cases were done successfully. The access site was changed peroperatively in one case. Complications included transient nerve palsy in one case, which recovered completely. There was minimal intraoperative bleeding. Postoperative pain was low except in one case and managed with minimal analgesia. Patient satisfaction was high in all cases.

Conclusions Subsurface endoscopy done on a wide range of reconstructive surgery procedures and resulted in minimal scars and high patient satisfaction.

Keywords

endoscopy - minimal access - plastic and reconstructive surgery


Publication History

Article published online:
16 September 2021

© 2021. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Hallock GG. A brief history of minimally invasive plastic surgery. Semin Plast Surg 2008; 22 (01) 5-7
    Article in Thieme ConnectPubMedGoogle Scholar
  • 2 Chow JC. Endoscopic release of the carpal ligament: a new technique for carpal tunnel syndrome. Arthroscopy 1989; 5 (01) 19-24
    CrossrefPubMedGoogle Scholar
  • 3 Core GB, Vasconez LO, Graham HD II. Endoscopic browlift. Clin Plast Surg 1995; 22 (04) 619-631
    CrossrefPubMedGoogle Scholar
  • 4 Ho LC. Endoscopic assisted transaxillary augmentation mammaplasty. Br J Plast Surg 1993; 46 (04) 332-336
    CrossrefPubMedGoogle Scholar
  • 5 Johnson GW, Christ JE. The endoscopic breast augmentation: the transumbilical insertion of saline-filled breast implants. Plast Reconstr Surg 1993; 92 (05) 801-808
    CrossrefPubMedGoogle Scholar
  • 6 Ramirez OM. Endoscopic full facelift. Aesthetic Plast Surg 1994; 18 (04) 363-371
    CrossrefPubMedGoogle Scholar
  • 7 Iglesias M, Bravo L, Chavez-Muñoz C, Barajas-Olivas A. Endoscopic abdominoplasty: an alternative approach. Ann Plast Surg 2006; 57 (05) 489-494
    CrossrefPubMedGoogle Scholar
  • 8 Huang MH, Cohen SR, Burstein FD, Simms CA. Endoscopic pediatric plastic surgery. Ann Plast Surg 1997; 38 (01) 1-8
    CrossrefPubMedGoogle Scholar
  • 9 Hallock GG. An endoscopic technique for decompressive fasciotomy. Ann Plast Surg 1999; 43 (06) 668-670
    CrossrefPubMedGoogle Scholar
  • 10 Hallock GG. Tendon-graft harvest using endoscopic guidance. Plast Reconstr Surg 1996; 97 (05) 1057-1061
    CrossrefPubMedGoogle Scholar
  • 11 Hallock GG, Rice DC. An endoscopic subcutaneous dissector for obtaining vein grafts. Ann Plast Surg 1998; 41 (06) 595-599
    CrossrefPubMedGoogle Scholar
  • 12 Hallock GG. Endoscopic retrieval of the sural nerve. J Reconstr Microsurg 1995; 11 (05) 347-350
    Article in Thieme ConnectPubMedGoogle Scholar
  • 13 Swain B. Transaxillary endoscopic release of restricting bands in congenital muscular torticollis–a novel technique. J Plast Reconstr Aesthet Surg 2007; 60 (01) 95-98
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 15 Lee CH, Lee C, Trabulsy PP. Endoscopic-assisted repair of a malar fracture. Ann Plast Surg 1996; 37 (02) 178-183
    CrossrefPubMedGoogle Scholar
  • 16 Serra JM, Benito JR, Monner J, Zayuelas J, Párraga A. Tissue expansion with endoscopy. Ann Plast Surg 1997; 38 (02) 101-108
    CrossrefPubMedGoogle Scholar
  • 17 Hallock GG. Adipofascial flap harvest using endoscopic assistance. Ann Plast Surg 1997; 38 (06) 649-652
    CrossrefPubMedGoogle Scholar
  • 18 Hallock GG. Minimally invasive harvest of the gracilis muscle. Plast Reconstr Surg 1999; 104 (03) 801-805
    CrossrefPubMedGoogle Scholar
  • 19 Miller MJ, Robb GL. Endoscopic technique for free flap harvesting. Clin Plast Surg 1995; 22 (04) 755-773
    CrossrefPubMedGoogle Scholar
  • 20 Saltz R. Endoscopic harvest of the omental and jejunal free flaps. Clin Plast Surg 1995; 22 (04) 747-754
    CrossrefPubMedGoogle Scholar
  • 21 Eaves III F. Subcutaneous endoscopic plastic surgery using a retractor-mounted endoscopic system. Perspect Plast Surg 1993; 7: 1-22
    Google Scholar