Intraoperative real-time fluorescence angiography with indocyanine green for evaluation of intestinal viability during surgery for an incarcerated obturator hernia: a case report
Abstract Background Bowel incarceration represents a dreaded complication amongst patients with hernias. The intraoperative evaluation of the bowel perfusion following hernia reduction with regard to the need for resection of ischaemic bowel can be challenging. In this case report we discuss intraop...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-08-01
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| Series: | Patient Safety in Surgery |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13037-018-0173-1 |
| _version_ | 1818147258062864384 |
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| author | Dimitra Daskalopoulou Joseph Kankam Jens Plambeck Peter C. Ambe Konstantinos Zarras |
| author_facet | Dimitra Daskalopoulou Joseph Kankam Jens Plambeck Peter C. Ambe Konstantinos Zarras |
| author_sort | Dimitra Daskalopoulou |
| collection | DOAJ |
| description | Abstract Background Bowel incarceration represents a dreaded complication amongst patients with hernias. The intraoperative evaluation of the bowel perfusion following hernia reduction with regard to the need for resection of ischaemic bowel can be challenging. In this case report we discuss intraoperative fluorescence angiography with indocyanine green (ICG) as an objective means of accessing bowel perfusion following hernia reduction. Case presentation The case of a 92-year-old, caucasian, female patient presenting with symptoms of small bowel obstruction secondary to an incarcerated left sided obturator hernia is presented. An incarcerated segment of the small bowel was reduced during emergency laparoscopy. Intraoperative ICG fluorescence angiography revealed ischaemic changes in the normal appearing bowel, so that the involved segment was resected. The postoperative course was uneventful and the patient was discharged home safely on postoperative day seven. Conclusion Intraoperative ICG fluorescence angiography provides an objective method of judging bowel perfusion and therefore represents a useful tool for assessing intestinal perfusion in patients with incarcerated hernia. |
| first_indexed | 2024-12-11T12:32:23Z |
| format | Article |
| id | doaj.art-22710a84590b4c72acb88656800ace73 |
| institution | Directory Open Access Journal |
| issn | 1754-9493 |
| language | English |
| last_indexed | 2024-12-11T12:32:23Z |
| publishDate | 2018-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Patient Safety in Surgery |
| spelling | doaj.art-22710a84590b4c72acb88656800ace732022-12-22T01:07:12ZengBMCPatient Safety in Surgery1754-94932018-08-011211410.1186/s13037-018-0173-1Intraoperative real-time fluorescence angiography with indocyanine green for evaluation of intestinal viability during surgery for an incarcerated obturator hernia: a case reportDimitra Daskalopoulou0Joseph Kankam1Jens Plambeck2Peter C. Ambe3Konstantinos Zarras4Department of Visceral, Minimal-Invasive and Oncological Surgery, Marien Hospital DüsseldorfDepartment of Visceral, Minimal-Invasive and Oncological Surgery, Marien Hospital DüsseldorfDepartment of Visceral, Minimal-Invasive and Oncological Surgery, Marien Hospital DüsseldorfDepartment of Visceral, Minimal-Invasive and Oncological Surgery, Marien Hospital DüsseldorfDepartment of Visceral, Minimal-Invasive and Oncological Surgery, Marien Hospital DüsseldorfAbstract Background Bowel incarceration represents a dreaded complication amongst patients with hernias. The intraoperative evaluation of the bowel perfusion following hernia reduction with regard to the need for resection of ischaemic bowel can be challenging. In this case report we discuss intraoperative fluorescence angiography with indocyanine green (ICG) as an objective means of accessing bowel perfusion following hernia reduction. Case presentation The case of a 92-year-old, caucasian, female patient presenting with symptoms of small bowel obstruction secondary to an incarcerated left sided obturator hernia is presented. An incarcerated segment of the small bowel was reduced during emergency laparoscopy. Intraoperative ICG fluorescence angiography revealed ischaemic changes in the normal appearing bowel, so that the involved segment was resected. The postoperative course was uneventful and the patient was discharged home safely on postoperative day seven. Conclusion Intraoperative ICG fluorescence angiography provides an objective method of judging bowel perfusion and therefore represents a useful tool for assessing intestinal perfusion in patients with incarcerated hernia.http://link.springer.com/article/10.1186/s13037-018-0173-1ICG fluorescence angiographyIncarcerated obturator herniaIntestinal blood flowLaparoscopy |
| spellingShingle | Dimitra Daskalopoulou Joseph Kankam Jens Plambeck Peter C. Ambe Konstantinos Zarras Intraoperative real-time fluorescence angiography with indocyanine green for evaluation of intestinal viability during surgery for an incarcerated obturator hernia: a case report Patient Safety in Surgery ICG fluorescence angiography Incarcerated obturator hernia Intestinal blood flow Laparoscopy |
| title | Intraoperative real-time fluorescence angiography with indocyanine green for evaluation of intestinal viability during surgery for an incarcerated obturator hernia: a case report |
| title_full | Intraoperative real-time fluorescence angiography with indocyanine green for evaluation of intestinal viability during surgery for an incarcerated obturator hernia: a case report |
| title_fullStr | Intraoperative real-time fluorescence angiography with indocyanine green for evaluation of intestinal viability during surgery for an incarcerated obturator hernia: a case report |
| title_full_unstemmed | Intraoperative real-time fluorescence angiography with indocyanine green for evaluation of intestinal viability during surgery for an incarcerated obturator hernia: a case report |
| title_short | Intraoperative real-time fluorescence angiography with indocyanine green for evaluation of intestinal viability during surgery for an incarcerated obturator hernia: a case report |
| title_sort | intraoperative real time fluorescence angiography with indocyanine green for evaluation of intestinal viability during surgery for an incarcerated obturator hernia a case report |
| topic | ICG fluorescence angiography Incarcerated obturator hernia Intestinal blood flow Laparoscopy |
| url | http://link.springer.com/article/10.1186/s13037-018-0173-1 |
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