Assessment of bowel vascularity using indocyanine green fluorescence in incarcerated hernia

Authors

  • Abhishek Ganguly Department of General Surgery, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India
  • Abhijith Acharya Department of General Surgery, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India
  • Manohar V. Pai Department of General Surgery, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India
  • Alfred J. Augustine KASTURBA MEDICAL COLLEGE, MANGALORE, MANIPAL ACADEMY OF HIGHER EDUCATION, MANIPAL, KARNATAKA, INDIA

DOI:

https://doi.org/10.18203/2349-2902.isj20213630

Keywords:

Obstructed hernias, Indocyanine green, Bowel vascularity

Abstract

Intra-operative assessment of bowel vascularity is often needed during emergent surgery. An objective test to determine the viability could reduce postoperative ischemic complications. Indocyanine green dye has been used for assessing bowel vascularity in colorectal surgery. The following study involving two patients demonstrates its use for assessing the viability of bowel in obstructed hernias after intraoperative intravenous injection. Stryker 1588 AIM laparoscopic setup was used for intraoperative fluorescence. In both cases, dusky areas were noted over the obstructed bowel segment on visual inspection. However, satisfactory fluorescence was seen after dye injection, and hence mesh repair was done without resecting the bowel. All the patients had a good post-operative recovery. Indocyanine green fluorescence may be a good modality to intraoperatively assess bowel vascularity.

Author Biographies

Abhishek Ganguly, Department of General Surgery, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India

RESIDENT, DEPT OF GENERAL SURGERY

Abhijith Acharya, Department of General Surgery, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India

ASSISTANT PROFESSOR, DEPT OF GENERAL SURGERY

Manohar V. Pai, Department of General Surgery, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India

PROFESSOR, DEPT OF GENERAL SURGERY

Alfred J. Augustine, KASTURBA MEDICAL COLLEGE, MANGALORE, MANIPAL ACADEMY OF HIGHER EDUCATION, MANIPAL, KARNATAKA, INDIA

PROFESSOR, DEPT OF GENERAL SURGERY

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Published

2021-08-27

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Section

Case Reports