Total Laparoscopic Hysterectomy and Bilateral Salpingectomy with Ureteric Mapping using ICG

This video demonstrate total laparoscopic hysterectomy and bilateral salpingectomy with ureteric mapping using ICG. Indocyanine green (ICG) represents a feasible alternative to the more traditional methods of ureteric mapping during total laparoscopic hysterectomy, and interest in this promising tracer is growing. This video outlines our experience with ICG in a minimally invasive laparoscopic approach in women with DUB using the STRYKER ICG near-infrared fluorescence imaging technology. All patients had undergone simple or laparoscopic hysterectomy with ureteric mapping by means of an intraureteric injection of ICG dye with locations of ureter after the induction of general anesthesia. The detection rate of ICG in ureter was 100 %. All procedures were successfully completed without conversion to open laparotomy, and no intraoperative or postoperative complications occurred. In our preliminary experience, ICG showed a high overall detection rate, and bilateral mapping appears to be a feasible alternative to the more traditional methods of ureteric mapping with a positive impact on patient management.