Use of intraoperative indocyanine green fluorescence in determining testicular viability in testicular torsion patients in rural settings: A case report

Savoie-White, Félix H.; Mailloux, Olivier

doi:10.1016/j.ijscr.2023.108247

Cited by 2 publications

(1 citation statement)

References 14 publications

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“…Perfusion was assessed after detorsion with good perfusion, and the testis was preserved with the unremarkable post-operative course, and long-term follow-up ( 112 ). Savioe–White et al demonstrated the use of ICG to determine testicular viability after detorsion; in their case, it required orchiectomy ( 113 ).…”

Section: Less Common Uses Of Icgmentioning

confidence: 99%

Utility of indocyanine green fluorescent dye in emergency general surgery: a review of the contemporary literature

Khalaf,

Abdelrahman,

El-Menyar

et al. 2024

Front. Surg.

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For decades, indocyanine green (ICG) has been available for medical and surgical use. The indications for ICG use in surgery have expanded where guided surgery directed by fluorescence and near-infrared fluorescent imaging offers numerous advantages. Recently, surgeons have reported using ICG operative navigation in the emergency setting, with fluorescent cholangiography being the most common procedure. The utility of ICG also involves real-time perfusion assessment, such as ischemic organs and limbs. The rising use of ICG in surgery can be explained by the ICG's rapid technological evolution, accuracy, ease of use, and great potential to guide precision surgical diagnosis and management. The review aims to summarize the current literature on the uses of ICG in emergency general surgery. It provides a comprehensive and practical summary of the use of ICG, including indication, route of administration, and dosages. To simplify the application of ICG, we subdivided its use into anatomical mapping and perfusion assessment. Anatomical mapping includes the biliary tree, ureters, and bowel. Perfusion assessment includes bowel, pancreas, skin and soft tissue, and gonads. This review provides a reference to emergency general surgeons to aid in implementing ICG in the emergency setting for more enhanced and safer patient care.

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Section: Less Common Uses Of Icgmentioning

confidence: 99%

Utility of indocyanine green fluorescent dye in emergency general surgery: a review of the contemporary literature

Khalaf,

Abdelrahman,

El-Menyar

et al. 2024

Front. Surg.

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Indocyanine green fluorescence imaging as a predictor of long-term testicular atrophy in testicular torsion: a pilot study

Komatsu,

Terui,

Takenouchi

et al. 2024

Surg Today

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Purpose This pilot study evaluated indocyanine green-guided near-infrared fluorescence (ICG-NIRF) imaging of testicular blood flow to predict long-term testicular atrophy after testicular torsion (TT) surgery. Methods The subjects of this retrospective study were patients who underwent surgery for TT at our hospital between December, 2020 and July, 2022. After detorsion, testicular blood flow was evaluated by ICG-NIRF imaging and classified into three categories: fluorescence detected, no fluorescence detected, and fluorescence detected only in the tunica albuginea vessels. Testicular volume was measured by ultrasonography up to 12 months after surgery to evaluate long-term outcomes. Results Twelve patients were included in this analysis. We found a 100% correlation between the absence of ICG-NIRF signals and subsequent testicular atrophy. In three patients without an ICG-NIRF signal, the median testis size 12 months postoperatively was significantly smaller (16.5% of the contralateral testis; range 13–20%) than that in six patients with an ICG-NIRF signal (96%; 89–115%) (p = 0.013). Mild atrophy (74.5%; 73–76%) was also observed in the three patients for whom an ICG-NIRF signal was detected only in the tunica albuginea vessels. Conclusions Our pilot study highlights the potential of ICG-NIRF imaging as a prognostic tool for guiding surgical decision-making for patients with TT, by predicting postoperative testicular atrophy.

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Use of intraoperative indocyanine green fluorescence in determining testicular viability in testicular torsion patients in rural settings: A case report

Cited by 2 publications

References 14 publications

Utility of indocyanine green fluorescent dye in emergency general surgery: a review of the contemporary literature

Utility of indocyanine green fluorescent dye in emergency general surgery: a review of the contemporary literature

Indocyanine green fluorescence imaging as a predictor of long-term testicular atrophy in testicular torsion: a pilot study

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