Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Early institutional adoption of robotic-assisted microsurgical reconstruction: A retrospective descriptive study.

Journal of plastic, reconstructive & aesthetic surgery : JPRAS·2026
Same author

Reuse of the same uterine graft: Emerging considerations in allotransplantation.

Transplantation reviews (Orlando, Fla.)·2026
Same author

Applying prior knowledge of regulatory signaling to investigate macrophage cAMP dynamics during Mycobacterium tuberculosis infection.

Scientific reports·2026
Same author

Commentary: A Bibliometric Review of Capsular Contracture in Breast Implant: Global Trends and Research Hotspots.

Plastic surgery (Oakville, Ont.)·2026
Same author

Exploring Lymphovenous Anastomosis for Alzheimer's Disease: Addressing Brain Lymphatic Dysfunction, Feasibility, and Outcome Metrics.

Plastic and reconstructive surgery·2026
Same author

Global Pediatric Stroke Epidemiology: A Systematic Review of the Literature and Meta-Analysis.

Journal of child neurology·2026

Related Experiment Video

Updated: Jan 13, 2026

Application of Indocyanine Green Fluorescence Imaging Technology in Laparoscopic Duodenum-Preserving Pancreatic Head Resection
14:56

Application of Indocyanine Green Fluorescence Imaging Technology in Laparoscopic Duodenum-Preserving Pancreatic Head Resection

Published on: November 21, 2025

157

Intraoperative Umbilical Perfusion Assessment Following Deep Inferior Epigastric Perforator Breast Reconstruction

Nina Hadzimustafic1,2, Emma Avery1,3, Jeffrey Chen4

  • 1From the Division of Plastic Surgery, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada.

Plastic and Reconstructive Surgery. Global Open
|January 12, 2026
PubMed
Summary

Indocyanine green angiography using the SPY-QP system can predict neoumbilicus wound complications in deep inferior epigastric perforator breast reconstruction. Surgeons can use these perfusion measurements to improve patient outcomes and cosmetic satisfaction.

More Related Videos

The Role of Indocyanine Green Fluorescence in Complex Laparoscopic Cholecystectomy Navigation
03:27

The Role of Indocyanine Green Fluorescence in Complex Laparoscopic Cholecystectomy Navigation

Published on: January 31, 2025

1.2K
Indocyanine Green-Guided Intraoperative Imaging to Facilitate Video-Assisted Retroperitoneal Debridement for Treating Acute Necrotizing Pancreatitis
04:01

Indocyanine Green-Guided Intraoperative Imaging to Facilitate Video-Assisted Retroperitoneal Debridement for Treating Acute Necrotizing Pancreatitis

Published on: September 8, 2022

2.9K

Related Experiment Videos

Last Updated: Jan 13, 2026

Application of Indocyanine Green Fluorescence Imaging Technology in Laparoscopic Duodenum-Preserving Pancreatic Head Resection
14:56

Application of Indocyanine Green Fluorescence Imaging Technology in Laparoscopic Duodenum-Preserving Pancreatic Head Resection

Published on: November 21, 2025

157
The Role of Indocyanine Green Fluorescence in Complex Laparoscopic Cholecystectomy Navigation
03:27

The Role of Indocyanine Green Fluorescence in Complex Laparoscopic Cholecystectomy Navigation

Published on: January 31, 2025

1.2K
Indocyanine Green-Guided Intraoperative Imaging to Facilitate Video-Assisted Retroperitoneal Debridement for Treating Acute Necrotizing Pancreatitis
04:01

Indocyanine Green-Guided Intraoperative Imaging to Facilitate Video-Assisted Retroperitoneal Debridement for Treating Acute Necrotizing Pancreatitis

Published on: September 8, 2022

2.9K

Area of Science:

  • Plastic Surgery
  • Surgical Oncology
  • Medical Imaging

Background:

  • Umbilical wound complications in deep inferior epigastric perforator (DIEP) breast reconstruction occur in 3-18% of cases.
  • Preventing these complications is crucial for patient cosmetic satisfaction.
  • Improved prediction methods for umbilical complications are needed.

Purpose of the Study:

  • To evaluate the utility of intraoperative indocyanine green angiography with the SPY quantification of perfusion (QP) system in predicting neoumbilicus wound complications.
  • To correlate SPY-QP measurements with postoperative wound outcomes in DIEP breast reconstruction.

Main Methods:

  • Retrospective cohort study of 30 consecutive patients undergoing DIEP breast reconstruction.
  • Intraoperative measurement of umbilical perfusion using SPY-QP with indocyanine green angiography.
  • Postoperative assessment of wound complications (none, minor, dehiscence, partial necrosis, total necrosis).

Main Results:

  • 19 patients had no complications, while 11 experienced various degrees of wound complications.
  • An average SPY-QP of 66% or higher predicted no umbilical wound complications.
  • SPY-QP values of 31% or lower predicted minor complications, 26% or lower predicted partial/total necrosis, and 13% or lower predicted total necrosis.

Conclusions:

  • Intraoperative indocyanine green angiography (SPY-QP) is a valuable tool for predicting neoumbilicus wound complications.
  • SPY-QP allows surgeons to make informed intraoperative decisions to mitigate risks associated with poor perfusion.
  • Utilizing SPY-QP can lead to improved surgical outcomes and patient satisfaction in DIEP breast reconstruction.