The Hulk Test; Using Indocyanine Green Injection to Assess Bowel Viability Following Strangulation

Authors

• Shubhreen Kaur, Henry Ford HealthFollow
• Shyamal Pansuriya, Henry Ford HealthFollow

Recommended Citation

Kaur S, Pansuriya S. The Hulk Test; Using Indocyanine Green Injection to Assess Bowel Viability Following Strangulation. Surg Endosc 2024; 38(1):S396.

Document Type

Conference Proceeding

Publication Date

6-28-2024

Publication Title

Surg Endosc

Keywords

indocyanine green, abdominal surgery, case report, clinical article, conference abstract, fluorescence, fluorescence imaging, human, intestine resection, laparoscopy, small intestine obstruction, strangulation, surgery

Abstract

This case report presents the utilization of indocyanine green (ICG) injection in a robotic-assisted abdominal surgery to assess bowel viability. A 84-year-old patient with a history of no past abdominal surgeries underwent robotic-assisted exploration laparoscopy for bowel resection due to concerns for high-grade small bowel obstruction. Intraoperatively, ICG was injected, allowing real-time visualization of bowel perfusion using near-infrared fluorescence imaging. This case highlights the clinical utility of ICG in enhancing surgical decision-making, enabling precise identification of bowel viability, and potentially reducing postoperative morbidity in complex abdominal surgeries.

Volume

38

Issue

1

First Page

S396