Abstract:
INTRODUCTION:Anastomotic leak (AL) after colorectal surgery is a devastating complication; decreased blood perfusion is an important risk factor. Surgeons rely on subjective measures to assess bowel perfusion. Fluorescence imaging (FI) with indocyanine green (ICG) provides a real-time objective assessment of intestinal perfusion. Areas covered: A PubMed search using the terms 'fluorescence imaging', 'indocyanine green', 'colon and rectal surgery' was undertaken. Sixteen articles between 2010 to present were identified. Main outcomes were leak rate reduction, change in surgical plan, and technical feasibility. Change in surgical strategy due to FI was recorded in 11 studies. Two case control studies showed overall reduction of 4% and 12% in AL rate and one showed no change in AL rate between groups. Expert commentary: According to the available literature, FI is technically feasible and alters surgical strategy in a non-negligible number of patients possibly effecting AL rates.
journal_name
Expert Rev Med Devicesjournal_title
Expert review of medical devicesauthors
Mizrahi I,Wexner SDdoi
10.1080/17434440.2017.1265444subject
Has Abstractpub_date
2017-01-01 00:00:00pages
75-82issue
1eissn
1743-4440issn
1745-2422journal_volume
14pub_type
杂志文章,meta分析,评审abstract::Drug eluting stents and particularly the fully bioresorbable drug-eluting scaffolds herald a new era in percutaneous treatment of coronary artery disease. There has been tremendous progress in drug eluting stents with fully biodegradable coating polymers and polymer-free devices with reservoir technology planting the ...
journal_title:Expert review of medical devices
pub_type: 杂志文章,评审
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journal_title:Expert review of medical devices
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journal_title:Expert review of medical devices
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abstract::This article investigates various neural machine interfaces for voluntary control of externally powered upper-limb prostheses. Epidemiology of upper limb amputation, as well as prescription and follow-up studies of externally powered upper-limb prostheses are discussed. The use of electromyographic interfaces and peri...
journal_title:Expert review of medical devices
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journal_title:Expert review of medical devices
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journal_title:Expert review of medical devices
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journal_title:Expert review of medical devices
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journal_title:Expert review of medical devices
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doi:10.1080/17434440.2017.1332523
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