PLASTIC AND RECONSTRUCTIVE SURGERY

Discover FLUOBEAM® LM

METHODOLOGICAL APPROACH AND OPERATING STRATEGY WITH FLUOBEAM® LM?

It is often difficult to accurately assess the quality of tissue perfusion during reconstruction surgery. However, this assessment is critical to avoid partial necrosis, especially in plastic and reconstructive surgery. The use of ICG (indocyanine green) fluorescence angiography provides a reliable Verification of tissue perfusion and identifies areas at risk of necrosis.

Fluobeam® LM in action

Breast reconstruction

FLUOBEAM®LM allows the surgeon to evaluate in real time the quality of tissue perfusion (flaps or skin after mastectomy with preservation of the skin cover) and to adapt the surgical procedure to minimize the risks of complications.
During a reconstruction procedure, with the use of an autologous flap (free or pedicled), it is essential to ensure good tissue perfusion in order to avoid postoperative complications, such as partial or fatty necrosis.

Breast reconstruction

FLUOBEAM®LM allows the surgeon to evaluate in real time the quality of tissue perfusion (flaps or skin after mastectomy with preservation of the skin cover) and to adapt the surgical procedure to minimize the risks of complications.
During a reconstruction procedure, with the use of an autologous flap (free or pedicled), it is essential to ensure good tissue perfusion in order to avoid postoperative complications, such as partial or fatty necrosis.

Maxillofacial reconstruction

During the reconstruction procedure, fluorescence imaging allows to check in real time the perfusion of the flaps In order to adapt the procedure and prevent potential postoperative complications, such as partial and/or total necrosis. FLUOBEAM® LM ensures that the tissue is well perfused.

In this indication, fluorescence imaging is also used postoperatively to check the perfusion of the flaps and anticipate possible complications such as venous thrombosis.

Maxillofacial reconstruction

During the reconstruction procedure, fluorescence imaging allows to check in real time the perfusion of the flaps In order to adapt the procedure and prevent potential postoperative complications, such as partial and/or total necrosis. FLUOBEAM® LM ensures that the tissue is well perfused.

In this indication, fluorescence imaging is also used postoperatively to check the perfusion of the flaps and anticipate possible complications such as venous thrombosis.

TESTIMONIALS

"When you see something with fluorescence imaging, the ICG doesn't lie. So we see the optimal size of the flap and how we're going to be able to preserve it safely."

Dr Assaf ZELTZER

Dr Assaf ZELTZER

Plastic, aesthetic and reconstructive surgery, UZ Brussel, Belgium

"There is a real interest in anticipating the occurrence of an accident, the main risk being that a vein or artery becomes blocked and causes a thrombosis. The sooner we intervene on a thrombosis, the more chance we have of saving the flap."

Dr Georges BETTEGA

Dr Georges BETTEGA

Maxillofacial Surgery, Annecy Hospital, France
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

FLUOBEAM® LM is indicated to visualize on a screen the flow, the distribution and/or the accumulation of Indocyanine green (ICG) before, during and after surgery for the indications such as: visualization of the blood flow, visualization of the lymphatic flow, visualization and identification of the bile ducts during hepatobiliary surgery, visualization and detection of primary liver tumors and/or hepatic metastases.FLUOBEAM® LM is also indicated to facilitate the visualization of parathyroid glands by auto-fluorescence (natural fluorescence without ICG injection) during thyroid and parathyroid surgeries. This is a class IIa medical device, CE017. Product manufactured by FLUOPTICS SAS, France. For proper use, please read carefully all instructions in the specific instructions for use for each product.

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