Abstract
AimRate intraoperatively in real time, blood flow and ends anastomotic and anastomosis.The ultimate goal of this work seeks to make this the beginning of a prospective study in order to audit the colonic anastomosis intraoperatively and seeking to reduce the number of sutures failure. Material and methodA prospective, observational and descriptive study, to be held in the Clinics Hospital in the period between January 2014 and July 2015. They were included in the same patients undergoing resection of colon and intestinal transit reconstruction on primary coordination.Indocyanine green (ICG) was used as a fluorescent vital dye for in situ evaluation of colonic anastomosis.The presence of failure postoperative suture relative to the anastomotic objectified perfusion with ICG, is an important parameter in our study. ResultsRegarding the perfusion of the anastomosis, in the first case it was significantly lower than in the colonic out. While in the remaining two cases the vascularization of the ends was optimal. ConclusionsThe technique with indocyanine green is an appropriate tool to audit the quality of intestinal anastomoses performed coordination.It is a safe, applicable in our midst as a predictor of suture failure, allows a reduction of postoperative morbidity and mortality from this cause.
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