[Real-time infrared thermography as an evaluation method of spleen viability in partial splenectomy in pigs].
OBJECTIVE
To determine if infrared thermography is capable of precisely detecting loss of tissue perfusion in the spleen during a partial splenectomy.


METHODS
Five Landrace pigs, weighing between 12 and 15 kg, after intramuscular pre-anesthetic medication and intravascular infusion anesthesia, were submitted to four sequential vascular interruption steps of the arterial vessels to the lower splenic pole: 1-vessels of splenic ligament; 2-splenic artery branch to the lower pole; 3-arterial branch to the lower pole on the organ visceral surface; 4-splenic parenchyma, splitting the organ. The images were captured by a Therma CAM SC500 camera 50 centimeters from the organ surface. The parenchymal temperatures were measured from the proximal (irrigated) areas and from the distal (ischemic) areas in three distinct circle regions of each area using SAT Report software, before and after each vessels interruption step, establishing five groups of measurement times: time 0 = before interruption step 1; time 1 = after interruption step 1; time 2 = after interruption step 2; time 3 = after interruption step 3; time 4 = after interruption step 4.


RESULTS
Proximal area temperatures (preserved vessels) remained stable during all the vessel interruption steps. The temperature of the distal area (compromised vessels), as compared to the proximal area, dropped continually throughout the sequential interruption steps and became statistically lower after interruption step 3 (time 3). There was a statistical difference between the proximal and distal temperatures of the organ as the vascular structures were being interrupted in each step.


CONCLUSIONS
Infrared thermography is capable of precisely distinguishing irrigated splenic parenchyma from the ischemic areas and can contribute to the evaluation of solid organ viability.
Ribeiro
Hugo Daniel Welter
HD
UFPR, Curitiba, PR, Brasil.
da Silva
Gustavo Antônio Pereira
GA
Brioschi
Marcos Leal
ML
do Nascimento
Aguinaldo José
AJ
Biondo-Simões
Maria de Lourdes Pessole
Mde L
Matias
Jorge Eduardo Fouto
JE
D000818:Animals; D007259:Infrared Rays; D013154:Spleen / Q000502:physiology*; D013156:Splenectomy / Q000379:methods*; D013552:Swine; D013817:Thermography; D013997:Time Factors; D014022:Tissue Survival