{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T22:55:22Z","timestamp":1794005722284,"version":"4.8.0"},"reference-count":19,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr Surg"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Reconstructive techniques for cloaca, anorectal malformations (ARM), and Hirschsprung disease (HD) may require intestinal flaps on vascular pedicles for vaginal reconstruction and\/or colonic pull-throughs. Visual assessment of tissue perfusion is typically the only modality used. We investigated the utility of intraoperative indocyanine green fluorescence angiography (ICG-FA) and hypothesized that it would be more accurate than the surgeon's eye.<\/jats:p><jats:p>\n          Materials and Methods\u2003Thirteen consecutive patients undergoing cloacal reconstruction (9), HD (3), and ARM repair (1) underwent ICG-FA laser SPY imaging to assess colonic, rectal, vaginal, and neovaginal tissue perfusion following intraoperative visual clinical assessment. Operative findings were correlated with healing at 6 weeks, 3 months, and 1 year postoperatively.<\/jats:p><jats:p>\n          Results\u2003ICG-FA resulted in a change in the operative plan in 4 of the 13 (31%) cases. In three cases, ICG-FA resulted in the distal bowel being transected at a level (&gt;10\u2009cm) higher than originally planned, and in one case the distal bowel was discarded, and the colostomy used for pull-through.<\/jats:p><jats:p>\n          Conclusion\u2003ICG-FA correctly identified patients who might have developed a complication from poor tissue perfusion. Employing this technology to assess rectal or neovaginal pull-throughs in cloacal reconstructions, complex HD, and ARM cases may be a valuable technology.<\/jats:p>","DOI":"10.1055\/s-0039-1700548","type":"journal-article","created":{"date-parts":[[2019,12,20]],"date-time":"2019-12-20T08:59:47Z","timestamp":1576832387000},"page":"505-511","source":"Crossref","is-referenced-by-count":37,"title":["Preliminary Use of Indocyanine Green Fluorescence Angiography and Value in Predicting the Vascular Supply of Tissues Needed to Perform Cloacal, Anorectal Malformation, and Hirschsprung Reconstructions"],"prefix":"10.1055","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8689-5989","authenticated-orcid":false,"given":"Rebecca Maria","family":"Rentea","sequence":"additional","affiliation":[{"name":"Center for Pelvic and Colorectal Reconstruction, Nationwide Children\u2019s Hospital, Columbus, Ohio, United States"},{"name":"Department of Pediatric Surgery, Children's Mercy Hospital, Kansas City, Missouri, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devin R.","family":"Halleran","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Children's Mercy Hospital, Kansas City, Missouri, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hira","family":"Ahmad","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Children's Mercy Hospital, Kansas City, Missouri, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2054-2803","authenticated-orcid":false,"given":"Alejandra Vilanova","family":"Sanchez","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Children's Mercy Hospital, Kansas City, Missouri, United States"},{"name":"Department of Pediatric Surgery, University Hospital La Paz, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandra C.","family":"Gasior","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Children's Mercy Hospital, Kansas City, Missouri, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"McCracken","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Children's Mercy Hospital, Kansas City, Missouri, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geri D.","family":"Hewitt","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Children's Mercy Hospital, Kansas City, Missouri, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria","family":"Alexander","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Children's Mercy Hospital, Kansas City, Missouri, United 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Surg"},{"issue":"06","key":"ref7","doi-asserted-by":"crossref","first-page":"582","DOI":"10.1097\/DCR.0000000000000320","article-title":"Equivocal effect of intraoperative fluorescence angiography on colorectal anastomotic leaks","volume":"58","author":"C Kin","year":"2015","journal-title":"Dis Colon Rectum"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1007\/BF02237248","article-title":"Altered microperfusion at the rectal stump is predictive for rectal anastomotic leak","volume":"43","author":"A Vignali","year":"2000","journal-title":"Dis Colon Rectum"},{"issue":"S 04","key":"ref9","doi-asserted-by":"crossref","first-page":"S387","DOI":"10.21037\/jtd.2016.04.43","article-title":"European perspective in Thoracic surgery-eso-coloplasty: when and how?","volume":"8","author":"L Gust","year":"2016","journal-title":"J Thorac 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