Background: Intestinal resections are commonly performed in the pediatric population. Perfusion of the bowel is one of the most important factors determining the viability of an intestinal anastomosis. Up to date, no ideal method to assess intestinal perfusion has proven its superiority. Objectives: Primary: The aim of this study is to establish the feasibility and impact of the use of indocyanine green technology on intestinal resection margins during elective and emergency pediatric surgeries. Secondary: The secondary outcomes of interest include collection of adverse events and difficulties encountered with the use of the indocyanine green (ICG) technology. Postoperative surgical complications will also be recorded. Study Design: An open observational clinical study will be performed by using a clinical drug (indocyanine green) and medical device (SPY Fluorescence Imaging) to assess intraoperatively intestinal perfusion in a specific pediatric population.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
35
Use of the SPY Pinpoint imaging device to evaluate intraoperative intestinal perfusion in children.
Intravenous injection of indocyanine green to evaluate the intestinal perfusion.
CHU Sainte-Justine
Montreal, Quebec, Canada
SPY System utility in intestinal resections in Pediatric Surgery
To demonstrate the utility of intra-operative evaluation of intestinal viability using the SPY Fluorescence Imaging System to optimize the location of the resection margins in pediatric surgeries necessitating intestinal resections. \- Rate of intestinal resection margins modifications by using the SPY technology
Time frame: 1 year
Surgical complications
* Number of anastomotic leaks * Number of strictures * Number of bowel obstructions
Time frame: 1 year
Length of stay
In days
Time frame: 1 year
Operative time
In minutes
Time frame: 30 days
Estimated blood losses
In ml
Time frame: 30 days
Need for additional reoperations
Number
Time frame: 1 year
Need for additional radiology interventions
Number
Time frame: 1 year
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