Indocyanine Green Angiography Precise Marking for Indeterminate Burn Excision: A Prospective, Multi-centered,...

Area of Science:

• Medical Imaging
• Surgical Innovation
• Burn Management

Background:

• Clinical judgment for indeterminate burn depth during excision is challenging.
• Indocyanine green angiography (ICGA) shows high accuracy in diagnosing indeterminate burns.
• Accurate assessment of burn depth is crucial for effective treatment planning.

Purpose of the Study:

• To evaluate complete wound closure rates after ICGA-guided indeterminate burn excision.
• To assess both short-term and long-term outcomes of this surgical approach.
• To determine the efficacy of ICGA in improving burn treatment decisions.

Main Methods:

• Prospective, multi-centered, double-blinded, experimental study.
• Indeterminate burn wounds assessed using ICGA precise marking.
• Deep burns excised and grafted; superficial burns measured; all wounds followed for two months.

Main Results:

• 96.7% short-term complete wound closure achieved in 30 indeterminate burn sites.
• 100.0% long-term complete wound closure confirmed at two months.
• No significant difference between short-term and long-term wound closure rates (P > 0.999).

Conclusions:

• ICGA precise marking significantly improves complete wound closure in indeterminate burn excision.
• Excellent short-term and long-term wound outcomes were observed.
• ICGA is a valuable tool for surgical decision-making in indeterminate burn areas.