Innovative ICG Application in Benign Gynaecological Surgery: Enhancing Safety and Precision.

Area of Science:

• Gynecological Surgery
• Surgical Visualization
• Minimally Invasive Procedures

Background:

• Increasing adoption of minimally invasive surgery for benign gynecological conditions necessitates enhanced patient safety measures.
• Accurate identification of critical anatomical structures is crucial for complex laparoscopic procedures.

Observation:

• Indocyanine green (ICG) was administered into ureters and vaginally to delineate the rectovaginal plane.
• Two cases, laparoscopic hysterectomy and advanced endometriosis, utilized ICG for enhanced visualization.

Findings:

• ICG significantly improved real-time visualization of ureters and the rectovaginal plane.
• The use of ICG facilitated complex dissections and reduced surgeon cognitive load.
• No intraoperative complications were reported, with positive postoperative outcomes.

Implications:

• ICG serves as a beneficial adjunct in laparoscopic gynecological surgeries, enhancing safety and efficacy.
• Further research is recommended to explore broader applications of ICG in benign gynecological surgery.
• The study highlights ICG's potential to improve patient outcomes in minimally invasive gynecological procedures.