Pearls for the Small Bowel and Colon That Will Not Reach

Chu, Daniel I.; Dozois, Eric J.

doi:10.1007/978-1-4939-2223-9_31

Cited by 1 publication

(1 citation statement)

References 22 publications

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“…Variability also affects the sigmoid and ileocolic regions, with the sigmoid colon's marginal artery being adequately wide (≥1 mm) in only 69% of cases, and the right colon's marginal artery present in just 30% of individuals [56,58]. In cases requiring tension-free anastomosis near the splenic flexure, colonic derotation or Deloyer's maneuver, which includes the resection and counterclockwise rotation of the right colon around the SMA axis, may be applied to ensure perfusion by preserving the ileocolic artery [59][60][61][62][63][64]. To enhance tissue perfusion assessment in Hirschsprung disease (HD) pull-through surgeries, Indocyanine Green Fluorescence Angiography (ICG-FA) has been effectively employed [34,36,39].…”

Section: Hirschsprung Diseasementioning

confidence: 99%

Utilization of Indocyanine Green (ICG) Fluorescence in Patients with Pediatric Colorectal Diseases: The Current Applications and Reported Outcomes

Bokova,

Elhalaby,

Saylors

et al. 2024

Children

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In pediatric colorectal surgery, achieving and visualizing adequate perfusion during complex reconstructive procedures are paramount to ensure postoperative success. However, intraoperative identification of proper perfusion remains a challeng. This review synthesizes findings from the literature spanning from January 2010 to March 2024, sourced from Medline/PubMed, EMBASE, and other databases, to evaluate the role of indocyanine green (ICG) fluorescence imaging in enhancing surgical outcomes. Specifically, it explores the use of ICG in surgeries related to Hirschsprung disease, anorectal malformations, cloacal reconstructions, vaginal agenesis, bladder augmentation, and the construction of antegrade continence channels. Preliminary evidence suggests that ICG fluorescence significantly aids in intraoperative decision-making by improving the visualization of vascular networks and assessing tissue perfusion. Despite the limited number of studies, initial findings indicate that ICG may offer advantages over traditional clinical assessments for intestinal perfusion. Its application has demonstrated a promising safety profile in pediatric patients, underscoring the need for larger, prospective studies to validate these observations, quantify benefits, and further assess its impact on clinical outcomes. The potential of ICG to enhance pediatric colorectal surgery by providing real-time, accurate perfusion data could significantly improve surgical precision and patient recovery.

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