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| Name | Use of Indocyanine Green in Endometriosis Surgery |
| Video Uploader | Video From Fertility & Sterility |
| Upload Date | This Video Uploaded At 26-06-2018 05:10:04 |
| Video Discription | Authors: Yochay Bar-Shavit, M.D.; Lucie Jaillet, M.D.; Pauline Chauvet, M.D.; Michel Canis, M.D., PhD; Nicolas Bourdel, M.D, Ph.D. Abstract: Objective: To report and visually demonstrate the feasibility of using Indocyanine Green (ICG) in endometriosis surgery and discuss potential benefits. Design: ICG fluorescent imaging has been validated to assess tissue perfusion with clinical use in many medical fields including gynecology and digestive surgery, but not described in endometriosis surgery for bowel assessment. As of our knowledge, to this date there is no validated, objective, intra-operative method to assess the vascularity of the operated bowel in endometriosis surgery, a potentially good indicator for post-operative fistula formation. Our center is conducting a registered clinical trial examining the use of ICG to evaluate the bowel vascularization after endometriosis rectal shaving surgery, and the potential role in reducing fistula rates (ClinicalTrials.gov registration number NCT03080558, institutional review board number 2016-002773-35). Setting: Feasibility phase of a registered clinical trial conducted at a tertiary University hospital. Patients: 3 patients undergoing laparoscopic surgery for DIE with a rectal shaving procedure. Interventions: Patients undergoing laparoscopic surgery for deep infiltrating endometriosis (DIE) with a rectal shaving procedure were injected ICG intravenously at the end of endometriosis resection. Main Outcome Measures: Visual assessment of the rectal shaving area was assessed whether fluoresced or not using a Likert based scale (0=no fluorescence, 4=very good fluorescence). Results: After ICG injection, all 3 patients have shown very good fluorescence levels at the rectal shaving area with no adverse reactions. Other uses of ICG are demonstrated throughout the video (vaginal cuff, ureter and ovary assessment). Conclusions: ICG fluorescent imaging is feasible in endometriosis surgery, and there is an ongoing trialto determine if its use reduces post-operative fistula formation. |
| Category | Science & Technology |
| Tags | Fluorescence imaging | Indocyanine Green | Endometriosis | Rectal Shaving | Fistula |
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