This advanced laparoscopic surgery video explores the practical comparison between ICG fluorescence imaging and infrared ureteric catheter visualization during a difficult Total Laparoscopic Hysterectomy performed for a fibroid uterus at World Laparoscopy Hospital. The video provides an important educational perspective on the use of modern visualization techniques to improve recognition of the ureter during complex pelvic surgery.

Large uterine fibroids can significantly distort normal pelvic anatomy and create major technical challenges during Total Laparoscopic Hysterectomy. The ureter may be displaced from its usual anatomical position, making identification more difficult during bladder dissection, uterine artery management, and parametrial tissue dissection. In such situations, advanced visualization methods may provide valuable assistance to the operating surgeon.

The video compares the role of ICG-guided fluorescence technology with the use of an infrared ureteric catheter, demonstrating how each technique can support ureteric identification during difficult laparoscopic hysterectomy. While technology can enhance visualization, safe surgery continues to depend on sound anatomical knowledge, careful dissection, surgical experience, and constant awareness of the relationship between the ureter and surrounding pelvic structures.

This surgical demonstration is an excellent learning resource for surgeons and gynecologists who wish to understand advanced strategies used in complex laparoscopic hysterectomy. The video emphasizes the importance of adopting appropriate technology according to the individual surgical situation while maintaining the fundamental principles of safe minimal access surgery.

Watch this detailed comparison to learn more about difficult fibroid hysterectomy, ureteric safety, fluorescence imaging, and advanced laparoscopic surgical techniques demonstrated at World Laparoscopy Hospital.