dc.contributor.author
Kühn, Friedrich
dc.contributor.author
Blohmer, Jens-Uwe
dc.contributor.author
Karsten, Maria Margarete
dc.date.accessioned
2022-07-21T11:12:03Z
dc.date.available
2022-07-21T11:12:03Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/35620
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-35334
dc.description.abstract
Background: Since postoperative complications after reconstructive breast surgery are often related to drastic increases of patient suffering and treatment costs, several devices were developed in order to avoid them. In this respect, the intraoperative fluorescence angiography with indocyanine green (ICG) provides promising results by detecting ischemic skin intraoperatively.
Methods: Women who underwent reconstructive breast surgery at the breast center at Charité between April and December 2017 were included in the analysis. General patient characteristics, medical history, type of surgery, as well as postoperative parameters, complications and patient reported outcomes were compared between patients operated using ICG fluorescence angiography and conventionally operated patients.
Results: Among 68 patients with breast reconstruction 36 (52.9%) were operated with the ICG angiography device and 32 (47.1%) without. No significant differences regarding patient demographics, medical history, and surgical procedure were found. Wound healing disorders occurred in 11.1% of the ICG group and in 9.4% of the control group. About 11% of both groups developed major complications which required revision surgery. Complication rates and patient reported outcome did not differ significantly. Across both groups, only the risk factor resection weight (≥ 500 g) was significantly associated with wound healing disorders (RR = 6.80; 95%CI 1.93–23.81; p = 0.022).
dc.rights.uri
https://creativecommons.org/licenses/by/4.0/
dc.subject
Breast cancer
en
dc.subject
Breast surgery
en
dc.subject
Reconstructive surgery
en
dc.subject
Fluorescence angiography
en
dc.subject
Indocyanine green
en
dc.subject.ddc
600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit
dc.title
Intraoperative indocyanine green fluorescence imaging in breast surgery
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation.doi
10.1007/s00404-020-05582-7
dcterms.bibliographicCitation.journaltitle
Archives of Gynecology and Obstetrics
dcterms.bibliographicCitation.originalpublishername
Springer Nature
dcterms.bibliographicCitation.pagestart
463
dcterms.bibliographicCitation.pageend
472
dcterms.bibliographicCitation.volume
302
refubium.affiliation
Charité - Universitätsmedizin Berlin
refubium.funding
Springer Nature DEAL
refubium.resourceType.isindependentpub
no
dcterms.accessRights.openaire
open access
dcterms.bibliographicCitation.pmid
32447448
dcterms.isPartOf.issn
0932-0067
dcterms.isPartOf.eissn
1432-0711