Evidence map›Paper›PMID 40261355›Full record

ArticleInternational urogynecology journal2025

Indocyanine Green Ureteral Mapping in Complex Pelvic Surgery.

Laurel Carbone, Kathryn Seymour, Rodger Rothenberger, Stacy M Lenger, Sean Francis, Ankita Gupta

Abstract readVideo-Audio MediaCase Reports
PubMed Publisher
In one paragraph

Article in International urogynecology journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Indocyanine green for intraoperative ureteral identification in gynecologic surgery: A preliminary systematic review of feasibility, safety, and surgical outcomes.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Laurel CarboneDepartment of Obstetrics, Gynecology, and Women's Health, Division of Urogynecology, Female Pelvic Medicine, and Reconstructive Surgery, University of Louisville, 550 South Jackson Street, Louisville, KY, 40202, USA. laurel.carbone@louisville.edu.ORCID 0009-0007-3846-1098
Kathryn SeymourDepartment of Obstetrics, Gynecology, and Women's Health, Division of Urogynecology, Female Pelvic Medicine, and Reconstructive Surgery, University of Louisville, 550 South Jackson Street, Louisville, KY, 40202, USA.
Rodger RothenbergerDepartment of Obstetrics, Gynecology, and Women's Health, Division of Urogynecology, Female Pelvic Medicine, and Reconstructive Surgery, University of Louisville, 550 South Jackson Street, Louisville, KY, 40202, USA.
Stacy M LengerDepartment of Obstetrics, Gynecology, and Women's Health, Division of Urogynecology, Female Pelvic Medicine, and Reconstructive Surgery, University of Louisville, 550 South Jackson Street, Louisville, KY, 40202, USA.
Sean FrancisDepartment of Obstetrics, Gynecology, and Women's Health, Division of Urogynecology, Female Pelvic Medicine, and Reconstructive Surgery, University of Louisville, 550 South Jackson Street, Louisville, KY, 40202, USA.
Ankita GuptaDepartment of Obstetrics, Gynecology, and Women's Health, Division of Urogynecology, Female Pelvic Medicine, and Reconstructive Surgery, University of Louisville, 550 South Jackson Street, Louisville, KY, 40202, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisVisual feedback using retrograde ureteral indocyanine green (ICG) instillation and near-infrared (NIR) fluorescence is an effective and reproducible option for ureteral identification in robotic pelvic surgeries. The purpose of this video is to discuss risks for intraoperative ureteral injury, demonstrate ICG ureteral mapping, review pelvic and ureteral anatomy, and common sites of ureteral injury during complex hysterectomies and reconstructive surgeries.

methodsThree robotic pelvic surgeries are presented with ICG and NIR fluorescent live ureteral mapping. Steps for ICG ureteral mapping and surgical technique are demonstrated.

resultsCases included a 51-year-old with enlarged uterine leiomyomata and adhesive disease undergoing a total robotic hysterectomy (TRH), a 54-year-old with leiomyomata and stage 2 uterovaginal prolapse undergoing TRH with uterosacral ligament suspension, and a 61-year-old with stage 2 post-hysterectomy prolapse undergoing a robotic sacrocolpopexy. Procedure duration ranged from 116 to 183 min. Patients were discharged home the day of surgery and remained complication-free at their 6-week postoperative appointment.

conclusionBilateral ureters were demonstrated via ICG with NIR fluorescence throughout the duration of all cases. ICG ureteral mapping complements careful surgical techniques to reduce iatrogenic ureteral injury. More data with larger prospective studies are needed to determine if ICG ureteral mapping significantly reduces iatrogenic ureteral injury.

Indexed as

Coloring AgentsGynecologic Surgical ProceduresIndocyanine GreenRobotic Surgical ProceduresUreterFemaleHumansHysterectomyIntraoperative ComplicationsMiddle AgedColoring AgentsIndocyanine GreenGynecologyIatrogenic ureteral injuryIndocyanine greenRobotic pelvic surgeryUrogynecology

Identifiers

PMID40261355

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.