Relevance of intraoperative indocyanine green injection in breast reconstruction using DIEP procedure for abdominal scars.

Autor: Louges MA; Department of PLASTIC reconstructive and aesthetic surgery, Hôpital Maison Blanche, CHU de Reims, 45, rue Cognacq Jay, 51100 Reims, France., Bellaiche J; Department of PLASTIC reconstructive and aesthetic surgery, Hôpital Maison Blanche, CHU de Reims, 45, rue Cognacq Jay, 51100 Reims, France., Correia N; Department of PLASTIC reconstructive and aesthetic surgery, Hôpital Maison Blanche, CHU de Reims, 45, rue Cognacq Jay, 51100 Reims, France., Chiriac S; Department of PLASTIC reconstructive and aesthetic surgery, Hôpital Maison Blanche, CHU de Reims, 45, rue Cognacq Jay, 51100 Reims, France., François C; Department of PLASTIC reconstructive and aesthetic surgery, Hôpital Maison Blanche, CHU de Reims, 45, rue Cognacq Jay, 51100 Reims, France; EA 3801 Laboratory, Champagne Ardenne University, UFR médecine, 51, rue Cognacq Jay, 51100 Reims, France. Electronic address: caroline_francois@icloud.com.
Jazyk: angličtina
Zdroj: Annales de chirurgie plastique et esthetique [Ann Chir Plast Esthet] 2016 Jun; Vol. 61 (3), pp. 231-4. Date of Electronic Publication: 2016 Apr 07.
DOI: 10.1016/j.anplas.2016.03.002
Abstrakt: Purpose of the Study: The presence of midline sub-umbilical and/or suprapubic scar can sometimes hinder breast reconstruction using deep inferior epigastric perforator (DIEP) procedure.
Basic Procedures: We report the use of indocyanine green injection in a 60-year-old woman in the context of deep inferior epigastric perforator (DIEP) procedure for unilateral breast reconstruction (bilateral breast cancer) with abdominal scar (midline sub-umbilical scar and Pfannenstiel incision scar).
Most Important Findings: This technique underlines the importance of neoangiogenesis mechanisms and helped simplify the surgical gesture initially planned (in order to ensure volume in spite of the scars as a DIEP procedure with double anastomoses was initially planned).
Principal Conclusions: This intraoperative vascular imaging technique is a minimally invasive, simple and quick procedure allowing the precise visualization of vascularized territories.
(Copyright © 2016 Elsevier Masson SAS. All rights reserved.)
Databáze: MEDLINE
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