Surgical Film Library-Near-Infrared Fluorescence Assessment Of Myocutaneous Flap Microperfusion For Gynecologic Reconstruction: Final Analysis Of A Prospective Non-Randomized Surgical Trial

Near-Infrared Fluorescence Assessment Of Myocutaneous Flap Microperfusion For Gynecologic Reconstruction: Final Analysis Of A Prospective Non-Randomized Surgical Trial

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Video Summary

The Forefront Study evaluated near-infrared (NIR) fluorescence angiography for assessing microperfusion in myocutaneous flap reconstruction after pelvic exoneration surgery in 15 patients. NIR angiography, using indocyanine green dye, identified poorly perfused tissue intraoperatively, altering flap management in 53% of cases, including trimming or abandoning flaps. The study showed a reduced 30-day wound infection rate of 13%, compared to the historical 38%. Lower flap perfusion detected by NIR corresponded with postoperative necrosis. This preliminary data supports further randomized trials to determine if NIR angiography improves surgical outcomes in flap reconstructions post-pelvic exoneration.

Asset Subtitle

Beryl Manning-Geist, United States

Meta Tag

Route Open

Skill Level Expert

Surgical Location Pelvis

Keywords

Open

Pelvis

Expert

Near-infrared fluorescence angiography

Myocutaneous flap reconstruction

Pelvic exoneration surgery

Indocyanine green dye

Wound infection rate