Total laparoscopic hysterectomy with indocyanine green
by RK Mishra

Textbook of Laparoscopy for Surgeons and Gynecologists

by RK Mishra
About Video

Conventional total laparoscopic hysterectomy is the standard surgical procedure for treating uterine diseases. The procedure involves removal of the uterus, upper part of the vagina, as well as nearly all uterosacral, cardinal, and uterovesical ligaments. The surgery involves cutting the uterine artery, separating the ureter tunnel, and performing radical parametrial resections. The procedure is frequently associated with postoperative insufficiency of ureteral blood supply and repair problems. This can lead to significant ureteral complications, such as postoperative ischemic necrosis, urinary fistula, stenosis, etc. ICG 25 mg was mixed with 10 mL sterile water, and 5 ml of the dilution was injected in both the ureter. The dye was tracked intraoperatively in real-time using an infrared fluorescence laparoscopic system.

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