Total Laparoscopic Hysterectomy With Indocyanine Green

Conventional total laparoscopic hysterectomy is the standard surgical procedure for treating uterine diseases. The procedure involves removal of the uterus and the surgery involves cutting the uterine artery, separating the ureter tunnel, and performing bladder separation and colpotomy. 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 (Endoscope Camera Fluorescent System; Stryker 1688 in order to reveal ureteral branch, bladder, and the ureter. The fluorescent signals were processed by a digital video system and displayed on a TV monitor in real time.