The Use of near Infra-Red Radiation Imaging after Injection of Indocyanine Green (NIR–ICG) during Laparoscopic Treatment of Benign Gynecologic Conditions: Towards Minimalized Surgery. A Systematic Review of Literature

<i>Background and Objectives</i>: To assess the use of near infrared radiation imaging after injection of indocyanine green (NIR–ICG) during laparoscopic treatment of benign gynecologic conditions. <i>Materials and Methods</i>: A systematic review of the literature was perfor...

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Main Authors: Antonio Raffone, Diego Raimondo, Alessia Oliviero, Arianna Raspollini, Antonio Travaglino, Marco Torella, Gaetano Riemma, Marco La Verde, Pasquale De Franciscis, Paolo Casadio, Renato Seracchioli, Antonio Mollo
Formato: Artigo
Idioma:English
Publicado: MDPI AG 2022-06-01
Series:Medicina
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Acceso en liña:https://www.mdpi.com/1648-9144/58/6/792
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author Antonio Raffone
Diego Raimondo
Alessia Oliviero
Arianna Raspollini
Antonio Travaglino
Marco Torella
Gaetano Riemma
Marco La Verde
Pasquale De Franciscis
Paolo Casadio
Renato Seracchioli
Antonio Mollo
author_facet Antonio Raffone
Diego Raimondo
Alessia Oliviero
Arianna Raspollini
Antonio Travaglino
Marco Torella
Gaetano Riemma
Marco La Verde
Pasquale De Franciscis
Paolo Casadio
Renato Seracchioli
Antonio Mollo
author_sort Antonio Raffone
collection DOAJ
description <i>Background and Objectives</i>: To assess the use of near infrared radiation imaging after injection of indocyanine green (NIR–ICG) during laparoscopic treatment of benign gynecologic conditions. <i>Materials and Methods</i>: A systematic review of the literature was performed searching 7 electronic databases from their inception to March 2022 for all studies which assessed the use of NIR–ICG during laparoscopic treatment of benign gynecological conditions. <i>Results</i>: 16 studies (1 randomized within subject clinical trial and 15 observational studies) with 416 women were included. Thirteen studies assessed patients with endometriosis, and 3 studies assessed non-endometriosis patients. In endometriosis patients, NIR–ICG use appeared to be a safe tool for improving the visualization of endometriotic lesions and ureters, the surgical decision-making process with the assessment of ureteral perfusion after conservative surgery and the intraoperative assessment of bowel perfusion during recto-sigmoid endometriosis nodule surgery. In non-endometriosis patients, NIR–ICG use appeared to be a safe tool for evaluating vascular perfusion of the vaginal cuff during total laparoscopic hysterectomy (TLH) and robotic-assisted total laparoscopic hysterectomy (RATLH), and intraoperative assessment of ovarian perfusion in adnexal torsion. <i>Conclusions</i>: NIR–ICG appeared to be a useful tool for enhancing laparoscopic treatment of some benign gynecologic conditions and for moving from minimally invasive surgery to minimalized surgery. In particular, it might improve treatment of endometriosis (with particular regard to deep infiltrating endometriosis), benign diseases requiring TLH and RATLH and adnexal torsion. However, although preliminary findings appear promising, further investigation with well-designed larger studies is needed.
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spelling doaj.art-9c708c9411904c5c8b7e8f8d0f39a9842023-11-23T17:52:41ZengMDPI AGMedicina1010-660X1648-91442022-06-0158679210.3390/medicina58060792The Use of near Infra-Red Radiation Imaging after Injection of Indocyanine Green (NIR–ICG) during Laparoscopic Treatment of Benign Gynecologic Conditions: Towards Minimalized Surgery. A Systematic Review of LiteratureAntonio Raffone0Diego Raimondo1Alessia Oliviero2Arianna Raspollini3Antonio Travaglino4Marco Torella5Gaetano Riemma6Marco La Verde7Pasquale De Franciscis8Paolo Casadio9Renato Seracchioli10Antonio Mollo11Department of Medical and Surgical Sciences (DIMEC), Univertity of Bologna, 40138 Bologna, ItalyDivision of Gynaecology and Human Reproduction Physiopathology, IRCCS Azienda Ospedaliera-Universitaria di Bologna, 40138 Bologna, ItalyGynecology and Obstetrics Unit, Department of Medicine, Surgery and Dentistry Schola Medica Salernitana, University of Salerno, 84081 Baronissi, ItalyDepartment of Medical and Surgical Sciences (DIMEC), Univertity of Bologna, 40138 Bologna, ItalyUnità di Ginecopatologia e Patologia Mammaria, Dipartimento Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyObstetrics and Gynecology Unit, Department of Woman, Child and General and Specialized Surgery, University of Campania Luigi Vanvitelli, 80128 Naples, ItalyObstetrics and Gynecology Unit, Department of Woman, Child and General and Specialized Surgery, University of Campania Luigi Vanvitelli, 80128 Naples, ItalyObstetrics and Gynecology Unit, Department of Woman, Child and General and Specialized Surgery, University of Campania Luigi Vanvitelli, 80128 Naples, ItalyObstetrics and Gynecology Unit, Department of Woman, Child and General and Specialized Surgery, University of Campania Luigi Vanvitelli, 80128 Naples, ItalyDivision of Gynaecology and Human Reproduction Physiopathology, IRCCS Azienda Ospedaliera-Universitaria di Bologna, 40138 Bologna, ItalyDepartment of Medical and Surgical Sciences (DIMEC), Univertity of Bologna, 40138 Bologna, ItalyGynecology and Obstetrics Unit, Department of Medicine, Surgery and Dentistry Schola Medica Salernitana, University of Salerno, 84081 Baronissi, Italy<i>Background and Objectives</i>: To assess the use of near infrared radiation imaging after injection of indocyanine green (NIR–ICG) during laparoscopic treatment of benign gynecologic conditions. <i>Materials and Methods</i>: A systematic review of the literature was performed searching 7 electronic databases from their inception to March 2022 for all studies which assessed the use of NIR–ICG during laparoscopic treatment of benign gynecological conditions. <i>Results</i>: 16 studies (1 randomized within subject clinical trial and 15 observational studies) with 416 women were included. Thirteen studies assessed patients with endometriosis, and 3 studies assessed non-endometriosis patients. In endometriosis patients, NIR–ICG use appeared to be a safe tool for improving the visualization of endometriotic lesions and ureters, the surgical decision-making process with the assessment of ureteral perfusion after conservative surgery and the intraoperative assessment of bowel perfusion during recto-sigmoid endometriosis nodule surgery. In non-endometriosis patients, NIR–ICG use appeared to be a safe tool for evaluating vascular perfusion of the vaginal cuff during total laparoscopic hysterectomy (TLH) and robotic-assisted total laparoscopic hysterectomy (RATLH), and intraoperative assessment of ovarian perfusion in adnexal torsion. <i>Conclusions</i>: NIR–ICG appeared to be a useful tool for enhancing laparoscopic treatment of some benign gynecologic conditions and for moving from minimally invasive surgery to minimalized surgery. In particular, it might improve treatment of endometriosis (with particular regard to deep infiltrating endometriosis), benign diseases requiring TLH and RATLH and adnexal torsion. However, although preliminary findings appear promising, further investigation with well-designed larger studies is needed.https://www.mdpi.com/1648-9144/58/6/792laparoscopyinnovationtechnologygynecologyminimally-invasivefluorescent dye
spellingShingle Antonio Raffone
Diego Raimondo
Alessia Oliviero
Arianna Raspollini
Antonio Travaglino
Marco Torella
Gaetano Riemma
Marco La Verde
Pasquale De Franciscis
Paolo Casadio
Renato Seracchioli
Antonio Mollo
The Use of near Infra-Red Radiation Imaging after Injection of Indocyanine Green (NIR–ICG) during Laparoscopic Treatment of Benign Gynecologic Conditions: Towards Minimalized Surgery. A Systematic Review of Literature
Medicina
laparoscopy
innovation
technology
gynecology
minimally-invasive
fluorescent dye
title The Use of near Infra-Red Radiation Imaging after Injection of Indocyanine Green (NIR–ICG) during Laparoscopic Treatment of Benign Gynecologic Conditions: Towards Minimalized Surgery. A Systematic Review of Literature
title_full The Use of near Infra-Red Radiation Imaging after Injection of Indocyanine Green (NIR–ICG) during Laparoscopic Treatment of Benign Gynecologic Conditions: Towards Minimalized Surgery. A Systematic Review of Literature
title_fullStr The Use of near Infra-Red Radiation Imaging after Injection of Indocyanine Green (NIR–ICG) during Laparoscopic Treatment of Benign Gynecologic Conditions: Towards Minimalized Surgery. A Systematic Review of Literature
title_full_unstemmed The Use of near Infra-Red Radiation Imaging after Injection of Indocyanine Green (NIR–ICG) during Laparoscopic Treatment of Benign Gynecologic Conditions: Towards Minimalized Surgery. A Systematic Review of Literature
title_short The Use of near Infra-Red Radiation Imaging after Injection of Indocyanine Green (NIR–ICG) during Laparoscopic Treatment of Benign Gynecologic Conditions: Towards Minimalized Surgery. A Systematic Review of Literature
title_sort use of near infra red radiation imaging after injection of indocyanine green nir icg during laparoscopic treatment of benign gynecologic conditions towards minimalized surgery a systematic review of literature
topic laparoscopy
innovation
technology
gynecology
minimally-invasive
fluorescent dye
url https://www.mdpi.com/1648-9144/58/6/792
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