Near-infrared fluorescence with indocyanine green for minimally invasive hernia surgery: A systematic review and evidence synthesis

BACKGROUND Minimally invasive approaches are now established as the standard of care for the repair of many inguinal and abdominal wall hernias. Near-infrared fluorescence imaging using indocyanine green (ICG) has been widely adopted in minimally invasive surgery, enabling real-time visualisation of vascular and lymphatic anatomy. While ICG fluorescence imaging is well established for perfusion assessment and anatomical guidance in colorectal and oncological surgery, its role in hernia repair is