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The use of indocyanine green angiography to prevent wound complications in ventral hernia repair with open components separation technique

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Abstract

Large ventral hernias can be managed with open components separation technique and onlay mesh reinforcement with low hernia recurrence rates. However, disruption of the perforating vessels to the medial skin flaps results in high rates of wound complications after the operation. An aggressive wound protocol including debridement of tissue with poor perfusion is needed to minimize complications. ICG angiography, a novel technology designed to detect tissue perfusion, can assist in this effort by identifying the ischemic areas to help guide the extent of debridement. This report presents a case in which ICG angiography–assisted open components separation was performed.

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Conflict of interest

Devinder Singh is a consultant for LifeCell Corporation. Howard Wang has no conflicts of interest to disclose.

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Authors and Affiliations

  1. Division of Plastic Surgery, University of Maryland School of Medicine, 22 South Greene Street, S8D18, Baltimore, MD, 21201, USA

    H. D. Wang & D. P. Singh

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  1. H. D. Wang
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  2. D. P. Singh
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Corresponding author

Correspondence to D. P. Singh.

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Online Resource 1 intra-operative perfusion mapping by ICG videoangiography demonstrating well-perfused tissue indicated by presence of fluorescence and ischemic areas indicated by lack of fluorescence. Supplementary material 1 (MPEG 11705 kb)

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Wang, H.D., Singh, D.P. The use of indocyanine green angiography to prevent wound complications in ventral hernia repair with open components separation technique. Hernia 17, 397–402 (2013). https://doi.org/10.1007/s10029-012-0935-0

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  • DOI: https://doi.org/10.1007/s10029-012-0935-0

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