Plastic Surgery

Nipple Sparing Mastectomy Perfusion Assessment with the PDE-Neo

Sara Sturgis Free Flap Perfusion, Free Flaps, Hamamatsu PDE, ICG Fluorescence, ICG Perfusion, Microsurgery, Microvascular, PDE Videos, Plastic Surgery, Reconstructive Surgery, Surgical Videos

PDE-Neo Visualization for Nipple-sparing Mastectomy Procedure from Mitaka USA on Vimeo.


Post-Mastectomy PDE-neo Visualization

Eric Sturgis Hamamatsu PDE, ICG Perfusion, Microsurgery, Microvascular, PDE Videos, Plastic Surgery, Reconstructive Surgery, Surgical Videos

PDE Evaluation from Mitaka USA on Vimeo.


PDE neo Free Flap Evaluation

Sara Sturgis Anastomosis, Free Flap Perfusion, Free Flaps, Hamamatsu PDE, ICG Fluorescence, ICG Perfusion, Microsurgery, Microvascular, PDE Videos, Plastic Surgery, Reconstructive Surgery, Surgical Videos

PDE-NEO Free Flap Evaluation from Mitaka USA on Vimeo.


PDE neo Breast Reconstruction with Free Flap

Sara Sturgis Free Flap Perfusion, Free Flaps, Hamamatsu PDE, ICG Fluorescence, ICG Perfusion, Microsurgery, Microvascular, PDE Videos, Plastic Surgery, Reconstructive Surgery, Surgical Videos

PDE-NEO Evaluation of Free Flap from Mitaka USA on Vimeo.


PDE neo Chest Reconstruction

Sara Sturgis Hamamatsu PDE, ICG Fluorescence, ICG Perfusion, Microsurgery, PDE Videos, Plastic Surgery, Reconstructive Surgery, Surgical Videos

Hamamatsu PDE NEO: Chest Reconstruction from Mitaka USA on Vimeo.


VIDEO: MM51 Breast Reconstruction Free Flap

Sara Sturgis Anastomosis, Microsurgery, Microvascular, Mitaka MM51, MM51 Videos, Plastic Surgery, Reconstructive Surgery, Surgical Videos

MM51 Breast Reconstruction Free Flap (1080) from Mitaka USA on Vimeo.


VIDEO: PDE Breast Free Flap Evaluation

Sara Sturgis Free Flap Perfusion, Free Flaps, General and Transplant Surgery, Hamamatsu PDE, ICG Fluorescence, ICG Perfusion, PDE Videos, Plastic Surgery, Reconstructive Surgery, Surgical Videos

PDE Breast Flap Evaluation from Mitaka USA on Vimeo.


VIDEO: Lymphovenous Bypass with the MM51

Sara Sturgis Microsurgery, Mitaka MM51, MM51 Videos, Plastic Surgery, Surgical Videos

Mitaka MM51 Lymphovenous Bypass from Mitaka USA on Vimeo.

Lymphovenous bypass by Dr. Chang at University of Chicago. 2014.


The Diagnostic and Intraoperative Use of NIR ICG in Perforator Flap Procedures: An Animal Study (2009)

Eric Sturgis Anastomosis, Basic Research, Free Flap Perfusion, Free Flaps, General and Transplant Surgery, Hamamatsu PDE, ICG Fluorescence, ICG Perfusion, Microsurgery, Plastic Surgery, Reconstructive Surgery

Image-Guided Perforator Flap Design Using Invisible Near-Infrared Light and Validation with X-Ray Angiography 

In this study, 22 pigs were injected with a bolus of indocyanine green (ICG) through a central venous line and observed with a near infrared (NIR) camera to identify dominant perforator flaps from the deep superior epigastric artery (DSEA). After the flap was identified and cut, it was given another ICG injection to confirm perfusion. In 8 of 22 of the pigs NIR ICG was confirmed with x-ray angiography. Researchers made a direct correlation between the results of the NIR ICG and x-ray angiography. This 2009 animal study “validated the clinical relevance of ICG fluorescence to tissue perfusion… the use of NIR wavelengths for fluorescence emission minimizes tissue autofluorescence and photo scatter, resulting in relatively high sensitivity” (Matsui et al 4).

Bibliographic information

Matsui, A., Lee, B. T., & Frangioni, J. V. (2009). Image-guided perforator flap design using invisible near-infrared light and validation with x-ray angiography. Annals of Plastic Surgery63(3), 327-330. Retrieved from www.ncbi.nlm.nih.gov/pmc/articles/PMC2756078

PubMed Full Article


Plastic Surgical Applications of ICG

Eric Sturgis Free Flap Perfusion, Free Flaps, General and Transplant Surgery, Hamamatsu PDE, ICG Fluorescence, ICG Perfusion, Microsurgery, Plastic Surgery, Reconstructive Surgery

Laser-induced fluorescence of indocyanine green: plastic surgical applications

This article explores the usefulness of ICG fluorescence in the evaluation of pedicle flaps, monitoring of free tissue transfer and replants, as well as the objective determination of burn depth. The authors found that in addition to normal assessment methods (clinical observation), ICG fluorescence provides invaluable information to the plastic surgeon for the developing an efficient surgery plan. For determining burn depth, the authors wrote that ICG made it possible to objectively differentiate burn wounds that require excision and grafting and those that do not. For pedicle flaps, the authors found that a 1999 paper published in the Annals of Plastic Surgery suggested that the information taken from ICG imaging leads to accurate predictions about flap survival.

Bibliographic information

Holm, C., Mayr, M., Tegeler, J., Becker, A., Pfieffer, U., & Muhlbauer, W. (2003). Laser-induced fluorescence of indocyanine green: plastic surgical applications. European Journal of Plastic Surgery26, 19-35. doi: 10.1007/s00238-003-0466-0

PubMed Full Article