title: Utility of indocyanine green fluorescence lymphography in identifying the source of persistent groin lymphorrhea.
abstract: Surgical manipulation of the groin can result in lymphatic injury in a significant number of patients leading to poor wound healing or infectious complications. Surgical repair of lymphatic injury is greatly aided by the precise and prompt intraoperative localization of the injured lymphatic vessels. We assessed and identified lymphatic leaks in 2 cases of surgical wound lymphorrhea occurring after instrumentation of the groin using laser-assisted indocyanine green lymphography paired with isosulfan blue injection. Both cases healed without complication, and no lymphatic leak recurrence was observed during postoperative follow-up. Laser-assisted indocyanine green lymphography is a useful adjunct in the management of lymphatic leaks after surgery of the groin and may have potential for prophylactic evaluation of high-risk groin wounds.
authors.affiliation: Department of General Surgery, Walter Reed National Military Medical Center, Bethesda, Md.; and Division of Plastic Surgery, University of Maryland School of Medicine, Baltimore, Md.
authors.forename: John S
authors.initials: JS
authors.lastname: Maddox
authors.affiliation: Department of General Surgery, Walter Reed National Military Medical Center, Bethesda, Md.; and Division of Plastic Surgery, University of Maryland School of Medicine, Baltimore, Md.
authors.forename: Jennifer M
authors.initials: JM
authors.lastname: Sabino
authors.affiliation: Department of General Surgery, Walter Reed National Military Medical Center, Bethesda, Md.; and Division of Plastic Surgery, University of Maryland School of Medicine, Baltimore, Md.
authors.forename: E Bryan
authors.initials: EB
authors.lastname: Buckingham
authors.affiliation: Department of General Surgery, Walter Reed National Military Medical Center, Bethesda, Md.; and Division of Plastic Surgery, University of Maryland School of Medicine, Baltimore, Md.
authors.forename: Gerhard S
authors.initials: GS
authors.lastname: Mundinger
authors.affiliation: Department of General Surgery, Walter Reed National Military Medical Center, Bethesda, Md.; and Division of Plastic Surgery, University of Maryland School of Medicine, Baltimore, Md.
authors.forename: Jonathan A
authors.initials: JA
authors.lastname: Zelken
authors.affiliation: Department of General Surgery, Walter Reed National Military Medical Center, Bethesda, Md.; and Division of Plastic Surgery, University of Maryland School of Medicine, Baltimore, Md.
authors.forename: Rachel O
authors.initials: RO
authors.lastname: Bluebond-Langner
authors.affiliation: Department of General Surgery, Walter Reed National Military Medical Center, Bethesda, Md.; and Division of Plastic Surgery, University of Maryland School of Medicine, Baltimore, Md.
authors.forename: Devinder P
authors.initials: DP
authors.lastname: Singh
authors.affiliation: Department of General Surgery, Walter Reed National Military Medical Center, Bethesda, Md.; and Division of Plastic Surgery, University of Maryland School of Medicine, Baltimore, Md.
authors.forename: Luther H
authors.initials: LH
authors.lastname: Holton