Intraoperative Utilization of Indocyanine Green (ICG) Dye for the Assessment of Ovarian Perfusion—Case Report and Review of the Literature
The assessment of ovarian perfusion after detorsion is crucial in the surgical management of patients with ovarian torsion. In current routine clinical practice, the surgical decision (preservation of the ovary versus oophorectomy) is based on the subjective impression of the surgeon. Intraoperative...
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MDPI AG
2023-09-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/18/5923 |
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| author | Ruben Plöger Mateja Condic Damian J. Ralser Hannah M. Plöger Eva K. Egger Lucia A. Otten Alexander Mustea |
| author_facet | Ruben Plöger Mateja Condic Damian J. Ralser Hannah M. Plöger Eva K. Egger Lucia A. Otten Alexander Mustea |
| author_sort | Ruben Plöger |
| collection | DOAJ |
| description | The assessment of ovarian perfusion after detorsion is crucial in the surgical management of patients with ovarian torsion. In current routine clinical practice, the surgical decision (preservation of the ovary versus oophorectomy) is based on the subjective impression of the surgeon. Intraoperative indocyanine green (ICG) angiography has been shown to sufficiently reflect tissue perfusion with a potential impact on the surgical procedure. Currently, there are only sparse data available on the utilization of ICG in the surgical treatment of ovarian torsion. Here, we describe the successful intraoperative use of ICG in a 17-year-old female patient with ovarian torsion who underwent ovary-preserving surgery. Further, a systematic literature review was performed. Based on the data available to date, the use of ICG in the surgical treatment of ovarian torsion is feasible and safe. The extent to which this might reduce the necessity for oophorectomy has to be evaluated in further investigations. |
| first_indexed | 2024-03-10T22:37:31Z |
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| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T22:37:31Z |
| publishDate | 2023-09-01 |
| publisher | MDPI AG |
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| series | Journal of Clinical Medicine |
| spelling | doaj.art-be3a7ab0833a4dbf986ec74ba4b9eb692023-11-19T11:19:18ZengMDPI AGJournal of Clinical Medicine2077-03832023-09-011218592310.3390/jcm12185923Intraoperative Utilization of Indocyanine Green (ICG) Dye for the Assessment of Ovarian Perfusion—Case Report and Review of the LiteratureRuben Plöger0Mateja Condic1Damian J. Ralser2Hannah M. Plöger3Eva K. Egger4Lucia A. Otten5Alexander Mustea6Department of Gynecology and Gynecological Oncology, University Hospital Bonn, 53127 Bonn, GermanyDepartment of Gynecology and Gynecological Oncology, University Hospital Bonn, 53127 Bonn, GermanyDepartment of Gynecology and Gynecological Oncology, University Hospital Bonn, 53127 Bonn, GermanyDepartment of Paediatrics, University Hospital Bonn, 53127 Bonn, GermanyDepartment of Gynecology and Gynecological Oncology, University Hospital Bonn, 53127 Bonn, GermanyDepartment of Gynecology and Gynecological Oncology, University Hospital Bonn, 53127 Bonn, GermanyDepartment of Gynecology and Gynecological Oncology, University Hospital Bonn, 53127 Bonn, GermanyThe assessment of ovarian perfusion after detorsion is crucial in the surgical management of patients with ovarian torsion. In current routine clinical practice, the surgical decision (preservation of the ovary versus oophorectomy) is based on the subjective impression of the surgeon. Intraoperative indocyanine green (ICG) angiography has been shown to sufficiently reflect tissue perfusion with a potential impact on the surgical procedure. Currently, there are only sparse data available on the utilization of ICG in the surgical treatment of ovarian torsion. Here, we describe the successful intraoperative use of ICG in a 17-year-old female patient with ovarian torsion who underwent ovary-preserving surgery. Further, a systematic literature review was performed. Based on the data available to date, the use of ICG in the surgical treatment of ovarian torsion is feasible and safe. The extent to which this might reduce the necessity for oophorectomy has to be evaluated in further investigations.https://www.mdpi.com/2077-0383/12/18/5923ovarian torsionoophorectomyindocyanine greenfluorescence guides surgeryadnexal torsion |
| spellingShingle | Ruben Plöger Mateja Condic Damian J. Ralser Hannah M. Plöger Eva K. Egger Lucia A. Otten Alexander Mustea Intraoperative Utilization of Indocyanine Green (ICG) Dye for the Assessment of Ovarian Perfusion—Case Report and Review of the Literature Journal of Clinical Medicine ovarian torsion oophorectomy indocyanine green fluorescence guides surgery adnexal torsion |
| title | Intraoperative Utilization of Indocyanine Green (ICG) Dye for the Assessment of Ovarian Perfusion—Case Report and Review of the Literature |
| title_full | Intraoperative Utilization of Indocyanine Green (ICG) Dye for the Assessment of Ovarian Perfusion—Case Report and Review of the Literature |
| title_fullStr | Intraoperative Utilization of Indocyanine Green (ICG) Dye for the Assessment of Ovarian Perfusion—Case Report and Review of the Literature |
| title_full_unstemmed | Intraoperative Utilization of Indocyanine Green (ICG) Dye for the Assessment of Ovarian Perfusion—Case Report and Review of the Literature |
| title_short | Intraoperative Utilization of Indocyanine Green (ICG) Dye for the Assessment of Ovarian Perfusion—Case Report and Review of the Literature |
| title_sort | intraoperative utilization of indocyanine green icg dye for the assessment of ovarian perfusion case report and review of the literature |
| topic | ovarian torsion oophorectomy indocyanine green fluorescence guides surgery adnexal torsion |
| url | https://www.mdpi.com/2077-0383/12/18/5923 |
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