light setting, which
causes areas of
blood flow in tissue
to glow bright
green. During bowel
resection surgery,
colorectal surgeon
John H. Marks, MD,
FACS, FASCRS,
uses enhanced fluo-
rescence imaging
on Stryker's fluorescence technology to check the quality of tissue
perfusion at the distal and proximal ends of the bowel before sewing
them together. The imaging helps him confirm that the tissue is
healthy and will heal properly, which lowers the risk of anastomotic
failure.
"Surgeons are often comfortable making that decision on their own
without that enhancement, but there are times when truly knowing
the perfusion of tissue is extremely helpful," says Dr. Marks, the direc-
tor of the Colorectal Center at Lankenau Medical Center and chief of
the section of colorectal surgery at Main Line Health in suburban
Philadelphia.
ICG fluorescence imaging helped bariatric surgeon Kelvin Higa, MD,
FACS, avoid a devastating outcome during what he thought was a rou-
tine gallbladder removal. During the case, he activated the fluores-
cence imaging on Karl Storz's Image1 S System and quickly realized
the bile duct structures were atypical. If he had moved forward with-
out the help of the glowing green of the contrast dye, he might not
have noticed the uniqueness of the patient's anatomy until it was too
late.
9 2 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • S E P T E M B E R 2 0 1 8
• CLEARLY BETTER The 4K imaging of Arthrex's Synergy platform provides surgeons
with fine-detail views of joint tissue and cartilage.
Arthrex
