Journal
ASIAN JOURNAL OF ENDOSCOPIC SURGERY
Volume 14, Issue 3, Pages 565-569Publisher
WILEY
DOI: 10.1111/ases.12875
Keywords
indocyanine green; laparoscopic surgery; obturator hernia
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The indocyanine green fluorescence imaging method successfully preserved the bowel by evaluating intestinal blood flow, providing valuable guidance in intraoperative decision-making.
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.
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