Abstract

The objective assessment of tissue perfusion is of utmost importance to plastic surgeons. Nevertheless, clinical observation remains the accepted gold standard for assessment of microcirculation. Dynamic laser fluo- rescence videography is a new technique for objective assessment of blood flow. We describe our clinical expe- rience using this technique in plastic surgical patients. Possible implementations include evaluation of pedicle (random and axial pattern) flaps, monitoring of free tis- sue transfer and replants, and the objective determination of burn depth. Compared with standard clinical assess- ment techniques indocyanine green imaging provides significant additional information which allows a ratio- nal and evidence-based planning of surgery.

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