ICG Fluorescence Angiography in Hand Surgery

This technical report discusses the application of ICG Fluorescence Angiography in hand surgery, particularly at Saitama Jikei Hospital. The report outlines the hospital's hand surgery department, established in 2019, and its use of ICG Fluorescence Angiography to enhance surgical outcomes. It explains the technology behind ICG Fluorescence Angiography, which utilizes Indocyanine Green and a Near-Infrared Fluorescence Imaging System to visualize blood flow in surgical flaps. The document details the indications for ICG use, including its approval for various surgical applications. It also addresses the challenges faced in promoting this technology within hand surgery due to financial constraints and the lack of medical fees for examinations. The report describes different types of Near-Infrared Fluorescence Imaging Systems, including their advantages and limitations. Finally, it presents usage examples of the LIGHTVISION2 system, illustrating its effectiveness in assessing blood flow during surgical procedures. Overall, the report aims to promote the adoption of this imaging technology in hand surgery facilities.