ICG imaging enhances hepatic boundary identification, reducing complications and hospital stay in liver resections. Explore its impact on surgical outcomes.
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Iodine is a trace element that is required to produce thyroid hormone. Some preoperative skin antiseptics and contrast media that are used in a variety of specialties (eg, cardiovascular, urology) contain iodine. Clinicians and patients may believe that a history of a reaction to shellfish, povidone-iodine, or radiopaque contrast media is an allergy requiring avoidance of all three substances. Because iodine is required for life and does not stimulate an immune response, there is no relationship between iodine and adverse reactions to iodine-containing products. Perioperative nurses should have knowledge of allergies associated with iodine-containing substances and should assess patients for allergies.
During the assessment process, they can seek input on the cause of any previous reactions and share information on allergies with the patient. They also can collaborate with leaders and information technology personnel to update the electronic health record to avoid documentation of iodine as an allergen.
Explore ICGA’s role in diagnosing and treating choroidal and retinal diseases. Learn how it enhances multimodal imaging for better clinical outcomes.
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Learn how ICG and UHFU reduce complications, improve outcomes, and enhance precision in sarcoma flap reconstruction. Explore the latest advancements!
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Discover how ICG tattooing enhances tumor localization in robotic-assisted rectal cancer surgery, improving precision and minimizing risks.
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Refined robotic hepatectomy preserving the caudate lobe using ICG imaging for precise dissection of Glissonean pedicles.
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ICG angiography aids in real-time evaluation of nasoseptal flap vascularity, revealing perfusion patterns linked to flap necrosis during endoscopic skull base surgery.
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ICG fluorescence aids in real-time identification of the thoracic duct during oesophagectomy, potentially reducing chyle leaks. However, further studies are needed.
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Background: We investigated the impact of Indocyanine Green (ICG) angiography on reducing anastomotic leakage (AL) after elective left segmental colon resection, including transverse resection. While ICG is widely used in colorectal surgery to assess vascularization, its true effect on AL, particularly in left segmental resections, remains unclear.
Study design: This retrospective, monocentric cohort study included patients undergoing left and transverse colon resection from January 2017 to July 2023. Patients were divided into ICG and no-ICG groups. The primary outcome was AL, with secondary outcomes including postoperative morbidity and length of stay.
Results: Of the 115 patients enrolled, 53 received ICG and 63 did not. AL occurred in 6 patients in the no-ICG group, but none in the ICG group. No significant correlation was found between ICG use and other confounding factors. Postoperative length of stay was also shorter in the ICG group.
Conclusions: The use of ICG was associated with a reduction in AL, with no cases in the ICG group. These findings suggest a potential benefit of ICG, warranting confirmation in future large-scale studies.
ICGA enhances skin flap viability assessment, reducing complications in mastectomy reconstruction, with BMI and implant volume linked to MSFN.
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