Relevance of intraoperative indocyanine green injection in breast reconstruction using DIEP procedure for abdominal scars
Louges MA. Ann Chir Plast Esthet. 2016 Jun;61(3):231-4. doi: 10.1016/j.anplas.2016.03.002. Epub 2016 Apr 7.
Department of PLASTIC reconstructive and aesthetic surgery, Hôpital Maison Blanche, CHU de Reims, 45, rue Cognacq Jay, 51100 Reims, France.
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.
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).
This intraoperative vascular imaging technique is a minimally invasive, simple and quick procedure allowing the precise visualization of vascularized territories.
EN SAVOIR PLUS :