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Cirugía Plástica Ibero-Latinoamericana
On-line version ISSN 1989-2055Print version ISSN 0376-7892
Abstract
OTORMIN, Gabriel; NOVELLO, Gabriela; GAMBINI, Juan Pablo and JURI, Héctor José. Evaluation of flap perfusion with green indocyanine. Cir. plást. iberolatinoam. [online]. 2018, vol.44, n.3, pp.303-309. Epub Feb 08, 2021. ISSN 1989-2055. https://dx.doi.org/10.4321/s0376-78922018000300011.
Background and Objective
Green indocyanine (ICG) is a dye used together with portable infrared (NIR) cameras for the evaluation of tissue perfusion.
Our objective is to know the green pigment of indocyaninea and its utility in Plastic Surgery to assess tissue perfusion during the confection of flaps.
Methods
Three clinical cases are described in which different types of flaps were composed. The administration of ICG 0.5 mg/kg via peripheral was performed during the intraoperative, and by means of an ICG detection system, tissue perfusion images were obtained.
Results
The intraoperative evaluation using ICG allowed identification of the main pedicle flap, assess its most important characteristics and tortuous, as well as evaluate real-time perfusion of the flap to ensure its vitality and ruling out the presence of potential intraoperative complications.
Conclusions
The study of ICG allows accurate and reliable intraoperative assessment of the tissue perfusion, allowing reduction of complications and improving surgical outcome.
Keywords : Green indocyanine; Tissue perfusion; Flaps.