Les bénéfices du vert d’Indocyanine pour la reconstruction mammaire
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 :