ArticleInternational urogynecology journal2025
Unveiling the Invisible: Complication of Laparoscopic Sacrocolpopexy Illuminated by Transcervical Injection of ICG.
Article in International urogynecology journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionA 57-year-old patient was referred to our tertiary referral urogynecology unit due to persistent and profuse vaginal discharge 1 year after undergoing laparoscopic sacrocolpopexy with subtotal hysterectomy for apical prolapse. During clinical examination, abundant yellowish discharge from the cervix was observed. Creatinine testing and Uro-CT excluded vesicovaginal or ureterovaginal fistulas and large abscesses. However, owing to suspected infection and the patient's poor quality of life, a decision was made to proceed with laparoscopic revision. RESULTS AND
methodsIntraoperatively, transcervical injection of ICG (indocyanine green) successfully illuminated a hidden retroperitoneal sinus and a low-volume abscess extending to the sacral promontory. Therefore, the previously installed mesh and the cervix were removed in a challenging but complication-free procedure. The patient was followed up after 3 months, remaining asymptomatic and satisfied with the outcome.
conclusionsManaging complications following laparoscopic sacrocolpopexy requires thorough clinical and instrumental evaluation. In this case, the strategic use of ICG injection proved to be an innovative approach to visualizing hidden complications, offering valuable insights for handling complex scenarios.
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