title: Relevance of intraoperative indocyanine green injection in breast reconstruction using DIEP procedure for abdominal scars.
abstract: OBJECTIVE
  The presence of midline sub-umbilical and/or suprapubic scar can sometimes hinder breast reconstruction using deep inferior epigastric perforator (DIEP) procedure.
  
  
  METHODS
  We report the use of indocyanine green injection in a 60-year-old woman in the context of deep inferior epigastric perforator (DIEP) procedure for unilateral breast reconstruction (bilateral breast cancer) with abdominal scar (midline sub-umbilical scar and Pfannenstiel incision scar).
  
  
  RESULTS
  This technique underlines the importance of neoangiogenesis mechanisms and helped simplify the surgical gesture initially planned (in order to ensure volume in spite of the scars as a DIEP procedure with double anastomoses was initially planned).
  
  
  CONCLUSIONS
  This intraoperative vascular imaging technique is a minimally invasive, simple and quick procedure allowing the precise visualization of vascularized territories.
authors.affiliation: Department of PLASTIC reconstructive and aesthetic surgery, Hôpital Maison Blanche, CHU de Reims, 45, rue Cognacq Jay, 51100 Reims, France.
authors.forename: M A
authors.initials: MA
authors.lastname: Louges
authors.affiliation: Department of PLASTIC reconstructive and aesthetic surgery, Hôpital Maison Blanche, CHU de Reims, 45, rue Cognacq Jay, 51100 Reims, France.
authors.forename: J
authors.initials: J
authors.lastname: Bellaiche
authors.affiliation: Department of PLASTIC reconstructive and aesthetic surgery, Hôpital Maison Blanche, CHU de Reims, 45, rue Cognacq Jay, 51100 Reims, France.
authors.forename: N
authors.initials: N
authors.lastname: Correia
authors.affiliation: Department of PLASTIC reconstructive and aesthetic surgery, Hôpital Maison Blanche, CHU de Reims, 45, rue Cognacq Jay, 51100 Reims, France.
authors.forename: S
authors.initials: S
authors.lastname: Chiriac
authors.affiliation: Department of PLASTIC reconstructive and aesthetic surgery, Hôpital Maison Blanche, CHU de Reims, 45, rue Cognacq Jay, 51100 Reims, France; EA 3801 Laboratory, Champagne Ardenne University, UFR médecine, 51, rue Cognacq Jay, 51100 Reims, France. Electronic address: caroline_francois@icloud.com.
authors.forename: C
authors.initials: C
authors.lastname: François
mesh_terms: D002921:Cicatrix / Q000473:pathology*; D004396:Coloring Agents; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D007208:Indocyanine Green; D007430:Intraoperative Care; D016462:Mammaplasty; D008875:Middle Aged; D061525:Perforator Flap / Q000098:blood supply*
chemical_list: D004396:Coloring Agents; D007208:Indocyanine Green
keywords: Abdominal scar; Breast reconstruction; Cicatrices abdominales; DIEP; DIEP flap; Indocyanine green; Microchirurgie; Microsurgery; Reconstruction mammaire; Vert d’indocyanine