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Ann Chir Plast Esthet. 2016 Jun;61(3):231-4. doi: 10.1016/j.anplas.2016.03.002. Epub 2016 Apr 7.

Relevance of intraoperative indocyanine green injection in breast reconstruction using DIEP procedure for abdominal scars.

Author information

1
Department of PLASTIC reconstructive and aesthetic surgery, Hôpital Maison Blanche, CHU de Reims, 45, rue Cognacq Jay, 51100 Reims, France.
2
Department of PLASTIC reconstructive and aesthetic surgery, Hôpital Maison Blanche, CHU de Reims, 45, rue Cognacq Jay, 51100 Reims, France; EA 3801 Laboratory, Champagne Ardenne University, UFR médecine, 51, rue Cognacq Jay, 51100 Reims, France. Electronic address: caroline_francois@icloud.com.

Abstract

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.

BASIC PROCEDURES:

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).

PRINCIPAL CONCLUSIONS:

This intraoperative vascular imaging technique is a minimally invasive, simple and quick procedure allowing the precise visualization of vascularized territories.

KEYWORDS:

Abdominal scar; Breast reconstruction; Cicatrices abdominales; DIEP; DIEP flap; Indocyanine green; Microchirurgie; Microsurgery; Reconstruction mammaire; Vert d’indocyanine

PMID:
27066700
DOI:
10.1016/j.anplas.2016.03.002
[Indexed for MEDLINE]

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