Exploration du système lymphatique : épreuve au bleu, lymphographies directes, lymphoscintigraphies, autres méthodes

Riquet, Marc; Collignon, M.; Aouafia, A; Legman, P.

doi:10.1016/s1290-0176(06)37415-7

EMC - Angéiologie

2006

DOI: 10.1016/s1290-0176(06)37415-7

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Exploration du système lymphatique : épreuve au bleu, lymphographies directes, lymphoscintigraphies, autres méthodes

Marc Riquet¹,

M. Collignon²,

A Aouafia³

et al.

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2023

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Cited by 1 publication

(2 citation statements)

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“…The exploration of the breast lymphatic system can nowadays be carried out by different methods: colorimetric using patent blue or Evans blue, or by lymphoscintigraphy using technetium, a radiolabeled isotope. However, more and more teams are using a fluorescent marker: indocyanine green (ICG) 4 . Used by ophthalmologists for retinal exploration and semiology, ICG is a fluorophore that emits light waves after its excitation that can be detected by infrared cameras.…”

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confidence: 99%

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Anatomic Study of the Integrity of the Breast Lymphatic Network With Indocyanine Green in Breast Implant Surgery Through the Axillary Approach

Claudic

Perruisseau-Carrier

et al. 2023

Ann Plast Surg

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Introduction:The performance of a prosthetic breast augmentation through the axilla always makes the surgeon fear the possibility of damage to the breast lymphatic network. Indocyanine green is a fluorescent marker allowing the analysis of the lymphatic system. This anatomical work aims at demonstrating, thanks to the use of indocyanine green, whether the realization of a prosthetic breast augmentation by axillary way leads to lesions of the breast lymphatic network and also seeks to show the feasibility of detecting the axillary sentinel node after axillary breast augmentation. Material and Method: This is an anatomical study. After injection of indocyanine green in the periareolar area, a prosthetic breast augmentation was performed through the axilla. At the end of the procedure, a change in the distribution of indocyanine green in the skin or its abnormal presence was sought: at the level of the skin incision, the prosthetic space, or in contact with the prosthesis itself. The presence of green in these situations was synonymous with a lesion of the lymphatic network. In the opposite case, we considered that the lymphatic system was respected. After sampling, an axillary lymph node we also looked for the presence of indocyanine green at its contact. Results: We performed 22 breast injections. The lymphatic network could be demonstrated in 15 of them. Among these 15 injections, 12 (80%) were in favor of a preservation of the lymphatic network, whereas 3 (20%) evoked a lesion of the lymphatic network. In all subjects (100%), an axillary lymph node was found with the presence of indocyanine green within it. Conclusion: Our study is in favor of a preservation of the lymphatic network during a prosthetic breast augmentation by axillary way. Furthermore, with the collection of an axillary lymph node containing the dye from each subject, this work demonstrates the feasibility of axillary sentinel node detection with indocyanine green after axillary breast augmentation. Further work on live subjects and on a larger number of subjects would be necessary to confirm these results.

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mentioning

confidence: 99%

“…However, more and more teams are using a fluorescent marker: indocyanine green (ICG). 4 Used by ophthalmologists for retinal exploration and semiology, ICG is a fluorophore that emits light waves after its excitation that can be detected by infrared cameras. Its use is currently extending to the fields of breast surgery and plastic surgery.…”

mentioning

confidence: 99%

Anatomic Study of the Integrity of the Breast Lymphatic Network With Indocyanine Green in Breast Implant Surgery Through the Axillary Approach

Claudic

Perruisseau-Carrier

et al. 2023

Ann Plast Surg

View full text Add to dashboard Cite

show abstract

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Exploration du système lymphatique : épreuve au bleu, lymphographies directes, lymphoscintigraphies, autres méthodes

Cited by 1 publication

References 40 publications

Anatomic Study of the Integrity of the Breast Lymphatic Network With Indocyanine Green in Breast Implant Surgery Through the Axillary Approach

Anatomic Study of the Integrity of the Breast Lymphatic Network With Indocyanine Green in Breast Implant Surgery Through the Axillary Approach

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