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Robotic Abdominoperineal Resection With Robotic Flap Harvest for Vaginal Reconstruction

Although technically challenging, robotic abdominoperineal resection (APR) with robotic harvest of the rectus abdominus muscular flap can eliminate the need for a midline laparotomy, reduce wound infection rates, lead to faster recovery and less narcotic use, and lower the risk for incisional hernia in patients undergoing surgery for recurrent rectal cancer. This video profiles a recent case at the Medical University of South Carolina (MUSC) performed by Virgilio V. George, M.D., Section Head of Colorectal Surgery, colorectal surgeon Pinckney J. Maxwell, M.D., and plastic surgeon Kevin O. Delaney, M.D. Surgical resident Gabriel R. Chedister, M.D., narrates endoscopic and other footage from the case, including surgical photographs showing trocar placement for both the APR and the robotic flap harvest.

Related Presenters

Virgilio George, M.D..

Virgilio George, M.D.

Virgilio V. George, M.D., joined the Department of Surgery as associate professor and head of the section of colon and rectal surgery in 2015. His primary academic and clinical focus is in the field of colorectal surgery including benign ...

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Pinckney Johnstone Maxwell, M.D..

Pinckney Johnstone Maxwell, M.D.

Dr. Pinckney Maxwell earned his medical degree here at the Medical University of South Carolina in Charleston, South Carolina. He completed his residency in general surgery at the Louisiana State University Health Sciences Center in New ...

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Kevin Delaney, M.D., MBA.

Kevin Delaney, M.D., MBA

Dr. Kevin Delaney's specialties include all techniques of breast reconstruction, including minimally invasive prepectoral breast reconstruction, surgical conversion from subpectoral to the prepectoral breast reconstruction in patients ...

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