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306
[APPLICATION VALUE OF INDOCYANINE GREEN ANGIOGRAPHY IN FLAP RECONSTRUCTIVE SURGERY].
Summary
Indocyanine green angiography helps surgeons assess flap blood flow during reconstructive surgery. This technique allows for timely adjustments, improving flap survival and reducing complications.
Area of Science:
- Plastic Surgery
- Surgical Innovation
- Medical Imaging
Background:
- Flap reconstructive surgery is crucial for restoring form and function.
- Assessing flap viability intraoperatively remains a challenge.
- Minimizing flap-related complications is a key surgical goal.
Purpose of the Study:
- To evaluate the effectiveness of indocyanine green (ICG) angiography in flap surgery.
- To determine if ICG angiography can reduce surgical complications.
- To assess the utility of real-time perfusion imaging in guiding surgical decisions.
Main Methods:
- Indocyanine green angiography was performed on 14 patients undergoing various flap reconstructions.
- The study included breast, chest wall, upper leg, and knee defect repairs.
- Flap types included DIEP, TRAM, latissimus dorsi, and PAP flaps.
Main Results:
- Indocyanine green angiography provided real-time flap perfusion data without adverse events.
- Surgical plans were adjusted in 5 of 14 cases based on ICG findings.
- Adjustments included discarding poorly perfused flap portions or adding anastomoses, leading to successful flap survival in most cases.
Conclusions:
- Intraoperative indocyanine green angiography is a valuable tool for assessing flap perfusion.
- Real-time imaging enables timely surgical modifications to ensure flap survival.
- This technique has the potential to decrease complications in flap reconstructive surgery.
