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Indocyanine green angiography in breast reconstruction surgery: A systematic review of cost-analysis studies

  • Chu Luan Nguyen
    Correspondence
    Department of Breast Surgery, Chris O'Brien Lifehouse, 119-143 Missenden Rd, Camperdown NSW 2050, Australia
    Affiliations
    Department of Breast Surgery, Chris O'Brien Lifehouse, 119-143 Missenden Rd, Camperdown NSW 2050, Australia

    Department of General Surgery, Royal Prince Alfred Hospital, 50 Missenden Rd, Camperdown NSW 2050, Australia

    Department of Surgery, The University of Sydney, Camperdown NSW 2050, Australia
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  • Nick Barry
    Affiliations
    Department of Breast Surgery, Chris O'Brien Lifehouse, 119-143 Missenden Rd, Camperdown NSW 2050, Australia

    Department of General Surgery, Royal Prince Alfred Hospital, 50 Missenden Rd, Camperdown NSW 2050, Australia
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  • Andrew Lindsay
    Affiliations
    Department of Surgery, The University of Sydney, Camperdown NSW 2050, Australia
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  • Jue Li Seah
    Affiliations
    Department of Breast Surgery, Chris O'Brien Lifehouse, 119-143 Missenden Rd, Camperdown NSW 2050, Australia
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  • Neshanth Easwaralingam
    Affiliations
    Department of Breast Surgery, Chris O'Brien Lifehouse, 119-143 Missenden Rd, Camperdown NSW 2050, Australia

    Department of General Surgery, Royal Prince Alfred Hospital, 50 Missenden Rd, Camperdown NSW 2050, Australia
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  • Carlo Pulitano
    Affiliations
    Department of General Surgery, Royal Prince Alfred Hospital, 50 Missenden Rd, Camperdown NSW 2050, Australia

    Department of Surgery, The University of Sydney, Camperdown NSW 2050, Australia
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  • Sanjay Warrier
    Affiliations
    Department of Breast Surgery, Chris O'Brien Lifehouse, 119-143 Missenden Rd, Camperdown NSW 2050, Australia

    Department of General Surgery, Royal Prince Alfred Hospital, 50 Missenden Rd, Camperdown NSW 2050, Australia

    Department of Surgery, The University of Sydney, Camperdown NSW 2050, Australia
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Published:September 13, 2021DOI:https://doi.org/10.1016/j.bjps.2021.08.013
      Mastectomy skin flap necrosis (MSFN) is a major complication after skin- or nipple-sparing mastectomy with a prevalence of 11–24%.
      • Chattha A.
      • Bucknor A.
      • Chen A.D.
      • Lee B.T.
      • Lin S.J.
      Indocyanine Green Angiography Use in Breast Reconstruction: a National Analysis of Outcomes and Cost in 110,320 Patients.
      Indocyanine green angiography (ICGA) has been used in the last ten years in breast reconstruction surgery. ICGA involves real-time fluorescence imaging utilising a near-infrared camera after intravenous administration of the fluorophore, indocyanine green. There has been evidence that it has greater sensitivity than just clinical assessment to identify skin flaps with reduced perfusion.
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