Intestinal blood flow evaluation using the indocyanine green fluorescence imaging method in a case of incarcerated obturator hernia: A case report
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 i...
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| Veröffentlicht in: | Asian journal of endoscopic surgery 2021-07, Vol.14 (3), p.565-569 |
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| container_title | Asian journal of endoscopic surgery |
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| creator | Nakashima, Keigo Ryu, Shunjin Okamoto, Atsuko Hara, Keigo Ishida, Kota Ito, Ryusuke Nakabayashi, Yukio |
| description | 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. |
| doi_str_mv | 10.1111/ases.12875 |
| format | Article |
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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. 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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.</description><subject>Case reports</subject><subject>Hernias</subject><subject>indocyanine green</subject><subject>Ischemia</subject><subject>laparoscopic surgery</subject><subject>obturator hernia</subject><subject>Tomography</subject><issn>1758-5902</issn><issn>1758-5910</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kcFKAzEQhhdRsFYvPkHAiwitm03SJN5KqVooeGjvSzY726Zsk5rsWvoaPrFZVzx4MJeZMF9-Jv-fJLc4HeN4HlWAMMaZ4OwsGWDOxIhJnJ7_9ml2mVyFsEvTCceUDJLPhW0gNMaqGhW1cyWqandE8KHqVjXGWdQGYzeo2QIytnT6pKyxgDYewEa2dR6CBqvjeK82HbqHZht1jEUK6bgQclW8aOU1eNVAiVzRtLFzHm3BW6Oe0LQHPRycb66Ti0rVAW5-6jBZP8_Xs9fR8u1lMZsuR5owwUaKZ5qXBS-gkoSICZnIVEjgOCulKhUry4zplAoiKqkJ1RxoRoRkheSVVIwMk_te9uDdexs9yPcm_qSulQXXhjyjVGZsQhmO6N0fdOdaHy2LFKMcE05FJ_jQU9q7EDxU-cFHT_wpx2nepZN36eTf6UQY9_DR1HD6h8ynq_mqf_MFQwKUPg</recordid><startdate>202107</startdate><enddate>202107</enddate><creator>Nakashima, Keigo</creator><creator>Ryu, Shunjin</creator><creator>Okamoto, Atsuko</creator><creator>Hara, Keigo</creator><creator>Ishida, Kota</creator><creator>Ito, Ryusuke</creator><creator>Nakabayashi, Yukio</creator><general>John Wiley & Sons Australia, Ltd</general><general>Wiley Subscription Services, Inc</general><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3053-3014</orcidid></search><sort><creationdate>202107</creationdate><title>Intestinal blood flow evaluation using the indocyanine green fluorescence imaging method in a case of incarcerated obturator hernia: A case report</title><author>Nakashima, Keigo ; Ryu, Shunjin ; Okamoto, Atsuko ; Hara, Keigo ; Ishida, Kota ; Ito, Ryusuke ; Nakabayashi, Yukio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3585-a72c7db7bef93386369089e712d9ada5dd25c04838f9c34c7e423895b97f9a53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Case reports</topic><topic>Hernias</topic><topic>indocyanine green</topic><topic>Ischemia</topic><topic>laparoscopic surgery</topic><topic>obturator hernia</topic><topic>Tomography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nakashima, Keigo</creatorcontrib><creatorcontrib>Ryu, Shunjin</creatorcontrib><creatorcontrib>Okamoto, Atsuko</creatorcontrib><creatorcontrib>Hara, Keigo</creatorcontrib><creatorcontrib>Ishida, Kota</creatorcontrib><creatorcontrib>Ito, Ryusuke</creatorcontrib><creatorcontrib>Nakabayashi, Yukio</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Asian journal of endoscopic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nakashima, Keigo</au><au>Ryu, Shunjin</au><au>Okamoto, Atsuko</au><au>Hara, Keigo</au><au>Ishida, Kota</au><au>Ito, Ryusuke</au><au>Nakabayashi, Yukio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intestinal blood flow evaluation using the indocyanine green fluorescence imaging method in a case of incarcerated obturator hernia: A case report</atitle><jtitle>Asian journal of endoscopic surgery</jtitle><date>2021-07</date><risdate>2021</risdate><volume>14</volume><issue>3</issue><spage>565</spage><epage>569</epage><pages>565-569</pages><issn>1758-5902</issn><eissn>1758-5910</eissn><abstract>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.</abstract><cop>Kyoto, Japan</cop><pub>John Wiley & Sons Australia, Ltd</pub><doi>10.1111/ases.12875</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-3053-3014</orcidid></addata></record> |
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| source | Wiley Online Library Journals Frontfile Complete |
| subjects | Case reports Hernias indocyanine green Ischemia laparoscopic surgery obturator hernia Tomography |
| title | Intestinal blood flow evaluation using the indocyanine green fluorescence imaging method in a case of incarcerated obturator hernia: A case report |
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