Indocyanine green for intraoperative ureteral identification in gynecologic surgery: A preliminary systematic review of feasibility, safety, and surgical outcomes.
Victoria Zhang, Dhruv Mantri, Qiannan Yang et al.
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In 30 seconds
This systematic review evaluated the feasibility, safety, and outcomes of intraureteral indocyanine green (ICG) for ureteral identification in gynecologic surgery. Analyzing seven studies with 299 patients, the review found successful ureter visualization in all cases, with no reported ureteral injuries or ICG-related complications. The evidence remains limited and of very low certainty.
Key findings
- All studies reported successful ureter visualization using ICG.
- No ureteral injuries or ICG-related complications were observed.
- Secondary outcomes like estimated blood loss and operative time were inconsistently reported.
Why it matters
Intraoperative ureteral identification is crucial to prevent injuries during complex gynecologic surgeries. The use of ICG may enhance visualization, potentially improving surgical safety and outcomes.
What to keep in mind
The evidence is limited and of very low certainty, with inconsistent reporting of secondary outcomes.