Management of a Bronchopleural Fistula After Right-Sided Lobectomy Using a Delayed Random Flap Under Guidance of Indocyanine Green (ICG) Angiography: A Case Report.

Bronchopleural fistula (BPF) following lung resection and thoracic surgery is associated with high rates of morbidity and mortality. Various methods are available for the closure of BPF and thoracic dead space, including flap procedures and thoracoplasty. While delayed random flaps have been used for the treatment of BPF and closure of thoracic dead space, no previous reports have described the concurrent use of laser-assisted indocyanine green angiography (ICG-A). We report a case of successful BPF closure with a random delayed fasciocutaneous flap using laser-assisted ICG-A guidance for flap delay.

Burn Depth Analysis Using Indocyanine Green Fluorescence: A Review.

Distinguishing between partial-thickness burns and full-thickness burns indicates the critical decision making related to whether a patient can be allowed to heal on their own or if the wound should be surgically excised and replaced with a graft. Therefore, reliable burn prognostication is crucial in planning the safest and most cost-effective treatment for the patient. Over the course of the last several decades, many techniques have been proposed and used to determine burn depth; namely, laser Doppler imaging and thermogenic assessment. Recently, indocyanine green (ICG), a fluorescent dye which is administered intravenously to measure tissue perfusion in real time, has been the focus of research regarding its efficacy in assessing burns. Studies have been conducted using rat, porcine, and human models. We have assessed and critically reviewed this literature to provide the burn community with a narrative of the promising potential of ICG to diagnose burn depth. ICG can measure perfusion instantaneously and in real time via video capture. This allows for evaluation of ICG uptake, standard state distribution, and clearance of the dye which with further study could increase the precision of the technique. In conclusion, ICG videoangiography shows a great deal of promise in being a particularly effective way of diagnosing burn depth and warrants further studies to investigate the best way for this technique to be used in a clinical setting.

Development of a primary melanoma in situ within a full-thickness skin graft overlying a free muscle flap: a case report.

The development of a primary melanoma within the confines of free tissue transfer is a rare occurrence. In this report, we describe the development of a primary melanoma in situ within a full-thickness skin graft overlying a free latissimus dorsi muscle flap used to cover a scalp defect.