Intestinal blood flow evaluation using the indocyanine green fluorescence imaging method in a case of incarcerated obturator hernia: A case report

In surgery for incarcerated hernia, intestinal blood flow is an important factor in intraoperative decision‐making given that irreversible ischemia can result in intestinal necrosis. Here, we report a case of incarcerated obturator hernia in which the bowel was successfully preserved by evaluating i...

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Published in:Asian journal of endoscopic surgery 2021-07, Vol.14 (3), p.565-569
Main Authors: Nakashima, Keigo, Ryu, Shunjin, Okamoto, Atsuko, Hara, Keigo, Ishida, Kota, Ito, Ryusuke, Nakabayashi, Yukio
Format: Article
Language:English
Subjects:
Case reports
Hernias
indocyanine green
Ischemia
laparoscopic surgery
obturator hernia
Tomography
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container_title Asian journal of endoscopic surgery
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creator Nakashima, Keigo
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Nakabayashi, Yukio
description In surgery for incarcerated hernia, intestinal blood flow is an important factor in intraoperative decision‐making given that irreversible ischemia can result in intestinal necrosis. Here, we report a case of incarcerated obturator hernia in which the bowel was successfully preserved by evaluating intestinal blood flow with the indocyanine green fluorescence imaging method. A woman in her 80s was diagnosed with incarcerated right obturator hernia, and a laparoscopic operation was performed. The small bowel tissue that had been incarcerated exhibited dark red discoloration. Fluorescence examination of the bowel wall indicated that the ischemic changes were reversible, and accordingly, the bowel was not resected. The postoperative course was uneventful. The indocyanine green fluorescence imaging method is a useful new source of evidence that will improve intraoperative decision‐making regarding bowel ischemia.
doi_str_mv 10.1111/ases.12875
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subjects Case reports
Hernias
indocyanine green
Ischemia
laparoscopic surgery
obturator hernia
Tomography
title Intestinal blood flow evaluation using the indocyanine green fluorescence imaging method in a case of incarcerated obturator hernia: A case report
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