Fluorescence guided imaging in reconstructive surgery


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Gunther Felmerer1
1University Medicine Göttingen

Abstract

Background

Fluorescence guided imaging is used more and more in reconstructive surgery after tumor resection. There are three indications: - Reconstructive surgery of lymphatic pathways after lymph node dissection - Planning of skin defect coverage by visualisation and measurement of blood perfusion - Controlling blood supply of limbs and endangered soft tissue after tumor resection Clinical examples will be demonstrated by video sequences. Fluorescence imaging seems to be mandatory to show perfusion in unclear situations. In lymphatic surgery lymph vessels can easily identified by injecting ICG in the skin or subcutaneous tissue, but deeper lymphatic vessels and lymph nodes cannot be seen by fluorescence imaging. for a plastic and reconstructive surgeon FGI has become an important tool for daily practice and provides better results and clearer decisions in the operating theater.