Usefulness of fluorescence imaging with indocyanine green for evaluation of bowel perfusion in the urgency setting: a systematic review and meta-analysis.

Moreover, the analysis that we performed showed a trend in favoring the use of ICG fluorescence to avoid relaparotomy for the persistence of ischemic bowel or anastomotic leak when performing laparotomy or laparoscopy for ischemic bowel disease.

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When performing our analysis, we found that there is a slight trend towards ICG fluorescence as being a better tool for assessment of bowel perfusion than the use of visual inspection and mesenteric pulse assessment during laparotomy or laparoscopy, the risk difference was in fact −0.04 (95% CI: −0.147 to 0.060), thus not permitting a definitive conclusion in favor of the use of ICG fluorescence.

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