The use of indocyanine green angiography to prevent wound complications in ventral hernia repair with open components separation technique

Large ventral hernias can be managed with open components separation technique and onlay mesh reinforcement with low hernia recurrence rates. However, disruption of the perforating vessels to the medial skin flaps results in high rates of wound complications after the operation. An aggressive wound protocol including debridement of tissue with poor perfusion is needed to minimize complications. ICG angiography, a novel technology designed to detect tissue perfusion, can assist in this effort by identifying the ischemic areas to help guide the extent of debridement. This report presents a case in which ICG angiography–assisted open components separation was performed.