Utility of Indocyanine Green Fluorescence Lymphography in Identifying the Source of Persistent Groin Lymphorrhea
Identifieur interne : 004565 ( Pmc/Curation ); précédent : 004564; suivant : 004566Utility of Indocyanine Green Fluorescence Lymphography in Identifying the Source of Persistent Groin Lymphorrhea
Auteurs : John S. Maddox ; Jennifer M. Sabino ; E. Bryan Buckingham ; Gerhard S. Mundinger ; Jonathan A. Zelken ; Rachel O. Bluebond-Langner ; Devinder P. Singh ; Luther H. HoltonSource :
- Plastic and Reconstructive Surgery Global Open [ 2169-7574 ] ; 2014.
Abstract
Surgical manipulation of the groin can result in lymphatic injury in a significant number of patients leading to poor wound healing or infectious complications. Surgical repair of lymphatic injury is greatly aided by the precise and prompt intraoperative localization of the injured lymphatic vessels. We assessed and identified lymphatic leaks in 2 cases of surgical wound lymphorrhea occurring after instrumentation of the groin using laser-assisted indocyanine green lymphography paired with isosulfan blue injection. Both cases healed without complication, and no lymphatic leak recurrence was observed during postoperative follow-up. Laser-assisted indocyanine green lymphography is a useful adjunct in the management of lymphatic leaks after surgery of the groin and may have potential for prophylactic evaluation of high-risk groin wounds.
Url:
DOI: 10.1097/GOX.0000000000000135
PubMed: 25426393
PubMed Central: 4229269
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Zelken</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Bluebond Langner, Rachel O" sort="Bluebond Langner, Rachel O" uniqKey="Bluebond Langner R" first="Rachel O." last="Bluebond-Langner">Rachel O. Bluebond-Langner</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Singh, Devinder P" sort="Singh, Devinder P" uniqKey="Singh D" first="Devinder P." last="Singh">Devinder P. Singh</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Holton, Luther H" sort="Holton, Luther H" uniqKey="Holton L" first="Luther H." last="Holton">Luther H. Holton</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></analytic><series><title level="j">Plastic and Reconstructive Surgery Global Open</title><idno type="eISSN">2169-7574</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Summary:</title><p>Surgical manipulation of the groin can result in lymphatic injury in a significant number of patients leading to poor wound healing or infectious complications. Surgical repair of lymphatic injury is greatly aided by the precise and prompt intraoperative localization of the injured lymphatic vessels. We assessed and identified lymphatic leaks in 2 cases of surgical wound lymphorrhea occurring after instrumentation of the groin using laser-assisted indocyanine green lymphography paired with isosulfan blue injection. Both cases healed without complication, and no lymphatic leak recurrence was observed during postoperative follow-up. Laser-assisted indocyanine green lymphography is a useful adjunct in the management of lymphatic leaks after surgery of the groin and may have potential for prophylactic evaluation of high-risk groin wounds.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Boccardo, F" uniqKey="Boccardo F">F Boccardo</name></author><author><name sortKey="Dessalvi, S" uniqKey="Dessalvi S">S Dessalvi</name></author><author><name sortKey="Campisi, C" uniqKey="Campisi C">C Campisi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stadelmann, Wk" uniqKey="Stadelmann W">WK Stadelmann</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Porcellini, M" uniqKey="Porcellini M">M Porcellini</name></author><author><name sortKey="Iandoli, R" uniqKey="Iandoli R">R Iandoli</name></author><author><name sortKey="Spinetti, F" uniqKey="Spinetti F">F 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Plast Reconstr Surg Glob Open</journal-id><journal-id journal-id-type="iso-abbrev">Plast Reconstr Surg Glob Open</journal-id><journal-id journal-id-type="publisher-id">GOX</journal-id><journal-title-group><journal-title>Plastic and Reconstructive Surgery Global Open</journal-title></journal-title-group><issn pub-type="epub">2169-7574</issn><publisher><publisher-name>Wolters Kluwer Health</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25426393</article-id><article-id pub-id-type="pmc">4229269</article-id><article-id pub-id-type="art-access-id">00010</article-id><article-id pub-id-type="doi">10.1097/GOX.0000000000000135</article-id><article-categories><subj-group subj-group-type="heading"><subject>Ideas and Innovations</subject></subj-group></article-categories><title-group><article-title>Utility of Indocyanine Green Fluorescence Lymphography in Identifying the Source of Persistent Groin Lymphorrhea</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Maddox</surname><given-names>John S.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="aff1">*</xref></contrib><contrib contrib-type="author"><name><surname>Sabino</surname><given-names>Jennifer M.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="aff1">*</xref></contrib><contrib contrib-type="author"><name><surname>Buckingham</surname><given-names>E. Bryan</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="aff1">†</xref></contrib><contrib contrib-type="author"><name><surname>Mundinger</surname><given-names>Gerhard S.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="aff1">†</xref></contrib><contrib contrib-type="author"><name><surname>Zelken</surname><given-names>Jonathan A.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="aff1">†</xref></contrib><contrib contrib-type="author"><name><surname>Bluebond-Langner</surname><given-names>Rachel O.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="aff1">†</xref></contrib><contrib contrib-type="author"><name><surname>Singh</surname><given-names>Devinder P.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="aff1">†</xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Holton</surname><given-names>Luther H.</given-names><suffix>III</suffix></name><degrees>MD</degrees><xref ref-type="aff" rid="aff1">†</xref></contrib><aff id="aff1">From the<label>*</label>Department of General Surgery, Walter Reed National Military Medical Center, Bethesda, Md.; and<label>†</label>Division of Plastic Surgery, University of Maryland School of Medicine, Baltimore, Md.</aff></contrib-group><author-notes><corresp id="c1">Luther (Tripp) Holton III, MD, Division of Plastic Surgery, University of Maryland School of Medicine, 22 South Greene Street, S8D18, Baltimore, MD 21201, E-mail: <email xlink:href="lholton@smail.umaryland.edu">lholton@smail.umaryland.edu</email></corresp></author-notes><pub-date pub-type="collection"><month>9</month><year>2014</year></pub-date><pub-date pub-type="epub"><day>07</day><month>10</month><year>2014</year></pub-date><volume>2</volume><issue>9</issue><elocation-id>e210</elocation-id><history><date date-type="received"><day>6</day><month>1</month><year>2014</year></date><date date-type="accepted"><day>20</day><month>5</month><year>2014</year></date></history><permissions><copyright-statement>Copyright © 2014 The Authors. Published by Lippincott Williams & Wilkins on behalf of The American Society of Plastic Surgeons. PRS Global Open is a publication of the American Society of Plastic Surgeons.</copyright-statement><copyright-year>2014</copyright-year><license><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License, where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially.</license-p></license></permissions><self-uri xlink:type="simple" xlink:href="gox-2-e210.pdf"></self-uri><abstract><sec><title>Summary:</title><p>Surgical manipulation of the groin can result in lymphatic injury in a significant number of patients leading to poor wound healing or infectious complications. Surgical repair of lymphatic injury is greatly aided by the precise and prompt intraoperative localization of the injured lymphatic vessels. We assessed and identified lymphatic leaks in 2 cases of surgical wound lymphorrhea occurring after instrumentation of the groin using laser-assisted indocyanine green lymphography paired with isosulfan blue injection. Both cases healed without complication, and no lymphatic leak recurrence was observed during postoperative follow-up. Laser-assisted indocyanine green lymphography is a useful adjunct in the management of lymphatic leaks after surgery of the groin and may have potential for prophylactic evaluation of high-risk groin wounds.</p></sec></abstract><custom-meta-group><custom-meta><meta-name>OPEN-ACCESS</meta-name><meta-value>TRUE</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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