Premium
Intestinal blood flow evaluation using the indocyanine green fluorescence imaging method in a case of incarcerated obturator hernia: A case report
Author(s) -
Nakashima Keigo,
Ryu Shunjin,
Okamoto Atsuko,
Hara Keigo,
Ishida Kota,
Ito Ryusuke,
Nakabayashi Yukio
Publication year - 2021
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12875
Subject(s) - indocyanine green , medicine , obturator hernia , blood flow , hernia , surgery , bowel resection , radiology
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.