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PLASTIC AND RECONSTRUCTIVE SURGERY

Visualize the blood flow, 

before, during and after surgery

WITH FLUORESCENCE IMAGING 

REDUCED POSTOPERATIVE COMPLICATION RATE

Regardless of the surgeon’s experience, the clinical assessment of the perfusion remains subjective and often unsubstantial in predicting postoperative complications. Fluorescence imaging provides qualitative and quantitative information for a better evaluation of the perfusion. This information enables the surgeon to carry out an objective analysis of the perfusion in real-time, the fluorescence signal being representative of this tissue perfusion. . 

Fluorescence angiography will enable surgeons to:
  • Identify flap perforators preoperatively

  • Check the vascular anastomoses and flap perfusion in real-time

  • Assess tissue perfusion postoperatively

Fluorescence angiography is performed with FLUOBEAM®, combined with the intravenous injection of indocyanine green (ICG) during the surgery and FLUOBEAM® displays on screen clear images of the blood flow dynamics.
The images displayed by Fluobeam® provide additional information, enabling the surgeon to improve his or her understanding so as to prevent eventual postoperative complications.

FLUOBEAM® IN ACTION 

Breast reconstruction

FLUOBEAM® enables surgeons to assess the quality of tissue perfusion (flaps or skin after skin sparing mastectomy) in real-time and to modify his or her surgery to minimize complication risks.
During reconstructive surgery involving autologous flaps (free or pedicle), assessment of flap perfusion is essential in order to avoid postoperative complications such as total or partial skin or fat necrosis.

Head and neck reconstruction

During reconstructive surgery, fluorescence imaging allows surgeons to check the flap perfusion in real-time, to reduce the risk of postoperative complications such as partial or total flap necrosis. FLUOBEAM® enables surgeons to ensure good vascularization of the tissue.
For this indication, fluorescence imaging can also be used for postoperative flap monitoring in order to anticipate potential complications such as venous thrombosis.
SURGEONS, VERBATIM 

PUBLICATIONS

> Bettega G. et al. Fluorescent Angiography for Flap Planning and Monitoring in Reconstructive Surgery. Chapter 32; 301-310.
Fluorescence Imaging for Surgeons: Concepts and Applications. 2015.F.D. Dip et al. (eds.)

> Hitier M. et al. Indocyanine green fluorescence angiography for free flap monitoring: a pilot study.
Journal of Cranio-Maxillofacial Surgery 2016

> Louges M.A. et al. Relevance of intraoperative indocyanine green injection in breast reconstruction using DIEP procedure for abdominal scars.
Ann Chir Plast Esthet. 2016

Fallucco M.A. et al. DIEP flap customization using FLUOBEAM® indocyanine green tissue perfusion assessment with large previous abdominal scar.
 JPRAS 2017