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.
Total Laparoscopic Hysterectomy and Bilateral Salpingectomy with Ureteric Mapping using ICG at World Laparoscopy Hospital
Minimally invasive surgery has revolutionized modern gynecology by offering safer procedures, faster recovery, and improved surgical precision. One of the most advanced procedures performed today is Total Laparoscopic Hysterectomy (TLH) with Bilateral Salpingectomy, enhanced by Ureteric Mapping using Indocyanine Green (ICG). At World Laparoscopy Hospital, this advanced technique is practiced and taught as part of its commitment to excellence in minimal access surgery and global surgical education.
Total Laparoscopic Hysterectomy is a minimally invasive procedure in which the uterus is completely removed using laparoscopic instruments inserted through small abdominal incisions. When combined with bilateral salpingectomy, both fallopian tubes are also removed. This approach is commonly recommended for conditions such as uterine fibroids, abnormal uterine bleeding, endometriosis, adenomyosis, and certain precancerous conditions. Compared with traditional open surgery, laparoscopic hysterectomy offers significant benefits including reduced postoperative pain, minimal blood loss, smaller scars, and quicker recovery for patients.
One of the most critical aspects of hysterectomy surgery is the identification and protection of the ureters, the tubes that carry urine from the kidneys to the bladder. Ureteric injury is a known risk during pelvic surgery because the ureters run very close to the uterus and surrounding structures. To enhance surgical safety, surgeons at World Laparoscopy Hospital utilize Indocyanine Green (ICG) fluorescence imaging for ureteric mapping. After the ICG dye is administered, special near-infrared imaging technology allows the ureters to be clearly visualized during surgery. This real-time fluorescence guidance helps surgeons accurately identify the ureters and avoid accidental injury.
The use of ICG fluorescence technology significantly improves surgical visualization and confidence during complex laparoscopic procedures. By clearly highlighting the ureters, surgeons can perform delicate dissection with greater precision and maintain safe anatomical boundaries. This innovation is especially valuable in patients with distorted anatomy due to large fibroids, previous surgeries, endometriosis, or pelvic adhesions.
At World Laparoscopy Hospital, this procedure is not only performed for patient care but is also demonstrated as part of advanced surgical training programs. Surgeons and gynecologists from around the world come to the hospital to learn the latest techniques in minimal access and robotic surgery. Through live surgical demonstrations, hands-on training, and expert mentorship, participants gain valuable experience in modern technologies such as fluorescence-guided surgery, which is becoming increasingly important in advanced laparoscopic practice.
Another important benefit of Total Laparoscopic Hysterectomy with Bilateral Salpingectomy is its role in reducing the future risk of ovarian cancer. Research has shown that many ovarian cancers originate in the fallopian tubes. Therefore, removing the tubes during hysterectomy when appropriate can serve as a preventive measure while preserving ovarian function in many patients.
The integration of innovative technologies such as ICG fluorescence imaging demonstrates the continuous advancement of minimally invasive surgery. Procedures that once required large incisions and long hospital stays can now be performed through small ports with improved safety and efficiency. At World Laparoscopy Hospital, such advancements are combined with structured surgical education to ensure that surgeons worldwide adopt safe and effective techniques.
In conclusion, Total Laparoscopic Hysterectomy with Bilateral Salpingectomy and Ureteric Mapping using ICG represents a significant advancement in gynecologic surgery. The procedure enhances patient safety, improves surgical precision, and reduces complications through advanced imaging technology. With its dedication to innovation, training, and global healthcare improvement, World Laparoscopy Hospital continues to play a vital role in promoting the future of minimally invasive surgery worldwide.
He is doing amazing work.
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