Evidence map›Paper›PMID 39968267›Full record

ArticleJournal of Indian Association of Pediatric Surgeons

Advancing Pediatric Surgery with Indocyanine Green: Nonhepatobiliary Applications and Outcomes.

Revathy Menon, T K Jayakumar, Shubhalaxmi Nayak, Rahul Saxena, Avinash S Jadhav, Kirtikumar J Rathod, Manish Pathak, Arvind Sinha

Abstract read
In one paragraph

Article in Journal of Indian Association of Pediatric Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Revathy MenonDepartment of Pediatric Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
T K JayakumarDepartment of Pediatric Surgery, All India Institute of Medical Sciences, Nagpur, Maharashtra, India.
Shubhalaxmi NayakDepartment of Pediatric Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Rahul SaxenaDepartment of Pediatric Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Avinash S JadhavDepartment of Pediatric Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Kirtikumar J RathodDepartment of Pediatric Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Manish PathakDepartment of Pediatric Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Arvind SinhaDepartment of Pediatric Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: This prospective single-center study aimed to evaluate the nonhepatobiliary applications of indocyanine green fluorescence-guided surgery (ICG FGS) in pediatric patients, assessing its utility as an adjunct for intraoperative imaging. Materials and Methods: Over a 30-month period from January 2021 to July 2023, pediatric patients undergoing various surgical procedures, excluding hepatobiliary cases, were included in the study. ICG (Aurogreen™) was administered intravenously or directly injected in tissue, and fluorescence imaging was conducted using specialized equipment (KARL STORZ GmbH and Co. KG). Patient demographics, diagnoses, surgical procedures, ICG protocols, intraoperative findings, and perioperative outcomes were analyzed. Results: The study included seventeen pediatric cases including Hirschsprung disease, anorectal malformations, undescended testes, varicocele, Mayer-Rokitansky-Kustner-Hauser syndrome, ovarian torsion, chylous ascites, chylothorax, and Wilms' tumor. ICG aided in the real-time assessment of vascular, intestinal perfusion in Hirschsprung disease, anorectal malformations, delineation of lymphatics from vessels in varicocele, confirmation of preserved vascularity after detorsion of ovary, identification of lymphatics for ligation in chylothorax, and chylous ascites. ICG thus aided in precise dissection and confirming tissue viability without reported adverse events. Conclusion: ICG FGS demonstrates significant potential as a tool for enhancing surgical outcomes in pediatric surgeries including indications beyond hepatobiliary cases. The findings suggest that ICG FGS can improve surgical precision by providing real-time assessment of tissue perfusion, and lymphatic mapping, thereby potentially reducing intraoperative complications. Further research and prospective studies are essential to validate its efficacy and establish standardized protocols, aiming to integrate ICG FGS as a routine adjunct in pediatric surgical practice.

Indexed as

Fluorescenceindocyanine greenlymphangiography

Identifiers

PMID39968267
PMCPMC11832100

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