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Indocyanine Green-Based Fluorescence-Guided Surgery in a Male Infant with Anorectal Malformation

Paraboschi, Irene; Privitera, Laura; Loukogeorgakis, Stavros; Giuliani, Stefano; (2022) Indocyanine Green-Based Fluorescence-Guided Surgery in a Male Infant with Anorectal Malformation. European Journal of Pediatric Surgery Reports , 10 (1) e122-e125. 10.1055/s-0042-1750029. Green open access

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Abstract

Reconstructive techniques for complex anorectal malformations (ARMs) require intestinal pull-through on vascular pedicles. Traditionally, the visual inspection of the intestinal perfusion is the sole modality adopted to assess tissue viability. In this article, we report the case of a child with a rectourethral prostatic fistula, who had a Peña's descending colostomy with distal mucous fistula in the neonatal period and a posterior sagittal anorectoplasty at 6 months of life. The ARM repair was guided by indocyanine green (ICG), which was intravenously administered to evaluate the blood flow of the intestinal pull-through using the EleVision IR system (Medtronic Ltd, U.K.). ICG-based fluorescence-guided surgery helped to define the proximal resection margin, impacting intraoperative decision making, and no postoperative complications occurred. We envisage that this technology will become part of the armory of pediatric surgeons soon, by reducing the risk of intra- and postoperative complications.

Type: Article
Title: Indocyanine Green-Based Fluorescence-Guided Surgery in a Male Infant with Anorectal Malformation
Location: Germany
Open access status: An open access version is available from UCL Discovery
DOI: 10.1055/s-0042-1750029
Publisher version: https://doi.org/10.1055/s-0042-1750029
Language: English
Additional information: Copyright © 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).
Keywords: anorectal malformation, children, fluorescence-guided surgery, indocyanine green, real-time imaging
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Developmental Biology and Cancer Dept
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
URI: https://discovery.ucl.ac.uk/id/eprint/10154772
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