Khazali S, Mondelli B, Fleischer K, Adamczyk M
Facts Views Vis Obgyn. 2023 Mar;15(1):89-91. doi: 10.52054/FVVO.15.1.062.
The use of Indocyanine Green (ICG) is well-described in oncology and more recently in benign gynaecological surgery. In this article we describe submucosal transvaginal ICG infiltration caudal to a vaginal endometriotic nodule to visualise the lower margin of excision laparoscopically.
To demonstrates the use of submucosal ICG tattooing to mark and delineate the caudal margin of an ultra-low full thickness vaginal nodule and aid its excision laparoscopically.
A stepwise approach highlighting the "SOSURE" surgical technique for the excision of endometriosis and the practical use of the ICG to delineate the lowest margin of the full thickness vaginal nodule.
Laparoscopic complete excision of a 5 cm full-thickness vaginal nodule invading the right parametrium and involving the superficial muscularis layer of the rectum.
ICG tattooing was helpful in identifying the lower margin of dissection of the rectovaginal space.
ICG tattooing of the margins of full-thickness vaginal nodules could be another use of ICG in benign gynaecology to complement the surgeon's tactile and visual identification of the lower edge of dissection.
吲哚菁绿（ICG）在肿瘤学中的应用已有充分描述，最近在良性妇科手术中也有应用。在本文中，我们描述了在阴道子宫内膜异位结节下方进行黏膜下经阴道ICG浸润，以在腹腔镜下可视化切除的下缘。
展示黏膜下ICG纹身标记并勾勒超低全层阴道结节的尾缘，以辅助腹腔镜切除。
逐步介绍用于子宫内膜异位症切除的“SOSURE”手术技术以及ICG在勾勒全层阴道结节最低边缘方面的实际应用。
腹腔镜下完整切除一个5厘米的全层阴道结节，该结节侵犯右侧子宫旁组织并累及直肠浅肌层。
ICG纹身有助于识别直肠阴道间隙的下部分离边缘。
全层阴道结节边缘的ICG纹身可能是ICG在良性妇科中的另一种应用，以补充外科医生对分离下边缘的触觉和视觉识别。
