https://www.laparoscopyhospital.com/SERV01.HTM<br /><br />This video demonstrate Comparing ICG and Infrared Ureteric Catheter in Challenging Total Laparoscopic Hysterectomy with Fibroids. This surgery is performed at World Laparoscopy Hospital by Dr. R.K. Mishra.<br /><br />Introduction<br /><br />Total laparoscopic hysterectomy (TLH) is a minimally invasive surgical procedure that has become the preferred choice for many gynecologists due to its reduced postoperative pain, quicker recovery, and improved cosmetic outcomes. However, when fibroids are present, the procedure can become more complex and challenging, with a higher risk of injury to the ureters – the tubes connecting the kidneys to the bladder. To mitigate this risk, surgeons often employ various techniques, such as indocyanine green (ICG) and infrared ureteric catheters. In this article, we will compare the use of ICG and infrared ureteric catheters in difficult TLH cases involving fibroids.<br /><br />Fibroids and TLH<br /><br />Fibroids, also known as uterine leiomyomas, are noncancerous growths in the uterus. They can vary in size, number, and location, making TLH more intricate when they are present. The proximity of fibroids to the ureters can pose a substantial challenge for surgeons during TLH. Ureteral injuries can lead to severe complications, including ureteral strictures, fistulas, and impaired renal function. Hence, ensuring the safety of the ureters during surgery is of paramount importance.<br /><br />https://www.laparoscopyhospital.com/drrkmishra.htm<br />ICG: A Fluorescent Dye<br /><br />ICG is a fluorescent dye that has gained popularity in TLH procedures involving fibroids. It is injected intravenously, and its fluorescence is detected with the help of a near-infrared camera. The dye travels through the circulatory system and can help visualize the perfusion of various tissues, including the ureters. Surgeons can observe the fluorescent ureters, allowing for better identification and preservation during dissection.<br /><br />Infrared Ureteric Catheter<br /><br />In contrast, the infrared ureteric catheter is a different approach to safeguarding the ureters during TLH. This catheter contains infrared sensors and is inserted into the ureter. The surgeon can track the catheter's position on a monitor, ensuring the ureter's safety during the procedure. This technique directly monitors the ureter in real-time.
