IC-Flow™ Indications | Plastic Surgery

Evaluation of flap perfusion

Chest reconstruction, Dr. Ulf Dornseifer, Klinikum Bogenhausen, München, Germany.


In plastic and reconstructive surgery, the IC-Flow™ Imaging System is used to visualize the perfusion of the skin and muscle flaps in real-time, and support the clinical decision making. The real-time assessment of dynamic flap perfusion can be used to select the optimal perforator and to design the flap.For example, the perfusion of a SIEA flap could be observed.

If the perfusion is not sufficient, then the surgeon can switch to a DIEP flap. In addition, following the placement of the flap, the patency of the arterial and venous anastomoses can be checked intraoperatively. Furthermore, the perfusion of the flap can be assessed after transplantation in order to eliminate possible complications.



Visualization of the subcutaneous lymph system

In plastic surgery the IC-Flow™ Imaging System can also be used for lymph angiography to visualize the superficial lymphatics in real-time. The actual anatomy and location of the lymph vessels can be observed. The transportation of lymph can be observed and the flow velocity can be measured.

The most common application of lymph angiography is for the diagnosis and treatment of secondary lymphedema. Secondary lymphedema is one of the most common diseases of the lymphatic system. If left untreated, lymphedema will usually worsen, resulting in strong pain and swelling as well as an increase in the size and weight of the affected limb. Therefore, an early and correct diagnosis along with an appropriate treatment plan are important.2


Linear Collectors
Rerouting Lymph


Performance of Lymphatico-Venous Anastomoses (LVA)

LVA procedure, Professor Masia Jaume, Barcelona (2014)
In cases of secondary lymphedema where there are still lymph vessels with good flow, lymphatico-venous anastomoses (LVA’s) are a possible treatment option. LVA’s should lead to improved lymphatic drainage and therefore a reduction of the edema.
The IC-Flow Imaging System is used to detect the lymph vessels which will be marked before the incisions. During the surgery the identified lymph vessels are observed in order to choose the most suitable one for anastomosis. If possible, multiple LVA’s are executed.


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