Bishop SN

Robotic technology has transformed several surgical specialties, offering enhanced precision, visualization, and dexterity. In plastic and reconstructive surgery, robotic systems are increasingly utilized across a range of procedures, thoug…

[BACKGROUND] Superomedial pedicle breast reduction combined with a Wise pattern or vertical skin resection has become more popular recently. This review aimed to investigate the role of the type of skin resection that may alter the outcomes…

[BACKGROUND] Skin-reducing mastectomy (SRM) represents a surgical option that provides patients with ptotic breasts the advantage of undergoing simultaneous nipple-preserving mastopexy in conjunction with mastectomy. Nonetheless, existing d…

[INTRODUCTION] In ptotic breasts, patients can undergo breast reduction or mastopexy before nipple-sparing mastectomy (NSM) to improve the esthetic outcomes. Literature also suggests the benefit of staged nipple-sparing mastectomy (SNSM) on…

[BACKGROUND] The integration of robotic technology into surgical procedures has gained considerable attention for its promise to enhance a variety of clinical outcomes. Robotic deep inferior epigastric perforator (DIEP) flap harvest has eme…

Numerous minimally invasive deep inferior epigastric perforator flap (MI-DIEP) techniques have been described in the literature to reduce donor site morbidities. This systematic review aimed to summarize existing MI-DIEP techniques and post…

[BACKGROUND] Microsurgical decision-making requires integration of diverse patient-specific factors, advanced surgical techniques, and dynamic intraoperative insights. While artificial intelligence (AI), large language models (LLMs), and re…

[INTRODUCTION] Minimally invasive techniques for DIEP flap harvest, including transabdominal (TAPP) and totally extraperitoneal (TEP) approaches, have been reported to be beneficial in reducing morbidity; however, direct comparative synthes…

The deep inferior epigastric perforator (DIEP) flap is considered the gold standard in breast reconstruction. Robotic harvest of the DIEP flap aims to further minimize abdominal morbidity by reducing anterior fascial damage. Most descriptio…

[BACKGROUND] Devastating abdominal injuries may result from liposuction, which can lead to necrotizing fasciitis and loss of abdominal domain. This may necessitate reconstructing the abdominal wall to improve the patient's quality of life. …

Rectus diastasis repair can be approached in many different ways from robotic to open. However, a large part of the transformation a plastic surgeon can offer a patient who is seeking a diastasis repair is to combine the rectus diastasis re…

Breast revision surgery is often necessary in patients following postmastectomy breast reconstruction with free autologous flaps for aesthetic improvement. Indications for nipple-sparing mastectomy continue to be expanded oncologically. How…

Ventriculoperitoneal (VP) shunts often pass through the anterior chest involving the breast parenchyma. Operating on patients with VP shunts necessitates extra caution during breast surgeries. We report two cases of female patients with VP …

[BACKGROUND] Mastectomy is performed prior to or concurrently with deep inferior epigastric perforator (DIEP) flap breast reconstruction. However, the complication rates of nipple-sparing mastectomy (NSM) versus skin-sparing mastectomy (SSM…

[BACKGROUND] Changes in the standard postmastectomy radiation therapy (PMRT) dosage schedule have led to the development of the hypofractionated radian therapy technique (HRT) that allows patients to receive fewer radian therapy sessions wi…

[INTRODUCTION] There remains an unclear definition of the term "gigantomastia," with many studies using different parameters and measurements. Currently, the operative management and patient education for gigantomastia are outdated. The his…

The rising popularity of robotic surgery has enabled surgeons to continue to expand the uses of robotic surgery. Robotic surgery offers minimally invasive approaches coupled with tremor elimination, up to seven degrees of freedom, ergonomic…

[BACKGROUND] Two-stage subpectoral implant-based breast reconstruction is the most common method for breast reconstruction. Recent advances in surgical techniques and technology have made prepectoral implant-based breast reconstruction feas…