Experience of using fluorescent ICG imaging for monitoring wound edge ischemia in plastic surgery after wide excision of localized skin melanoma of the trunk and extremities

The article presents the experience of using fluorescent ICG imaging for assessment and control of wound edge ischemia during plastic surgery after wide excision of localized skin melanoma of the trunk and extremities. The study demonstrates the effectiveness of intravenous administration of Indocyanine Green (ICG) for intraoperative assessment of tissue blood supply in two methods of defect closure: local flap surgery and wound edge mobilization. The method allows predicting zones of potential necrosis, making it possible to make timely decisions about the need for anticoagulant therapy and prevention of ischemic complications, thereby improving the results of surgical treatment of patients with skin melanoma.