with Dr. Helmuth Billy
ICG is an essential technology to reduce the risk of complications and improve outcomes in bariatric surgery. The session focuses on the use of ICG Technology to reduce the risk of complications for revision surgery, duodenal switch, gastric bypass, sleeve gastrectomy, and internal hernia.
A step-by-step video of the initial steps to perform during the application of ICG in Ischemia and Gastric Bypass is given. The main point of ICG is that it provides the opportunity to resect and preserve the maximum amount of tissue.
Delayed perfusion roux limb, when the tissue can be preserved, is also discussed. Mesentery fat shows no signs of ischemia and it is a fast process that lasts less than 30 seconds.
Dr. Billy discusses the different way to start a single anastomosis duodenal switch to the essential common bile duct. For dissection, ICG is given to the patient one hour before the procedure.
When it comes to new technologies, it is important to consider a dual-chip technology known as Rubina that is based on low latency and high frame rate. It is a good tool to implement because it uses white light avoiding previous dark images.
This is commonly used in bariatric surgery and for SADI procedures because it has three simultaneous visual modes.
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