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Overcoming the obstacles of visualization in robotically assisted abdominal cerclage using indocyanine green

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Abstract

Abdominal cerclage is found to have success rates of 85–95 % with lower incidence of preterm delivery and preterm premature rupture of membranes when compared to the vaginal approach. However, since it is more invasive, its use has been limited to selected cases. Robot-assisted abdominal cerclage is a relatively new minimally invasive technique that gives the opportunity for less invasive procedures when compared to the open technique and, when compared to conventional laparoscopy, has the advantages of 3D visualization and endowristed instrumentation. The distinctive feature of our case is the use of near infrared camera system, which is a relatively new modality in robotics and, to the best of our knowledge, this is the first report in the literature that indocyanine green dye was used to help to visualize vascular anatomy during a robotic cerclage procedure in a pregnant patient.

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Correspondence to Burak Zeybek.

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No funding was received for this study.

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Burak Zeybek declares that he has no conflict of interest. Mostafa Borahay declares that he has no conflict of interest. Gokhan Sami Kilic declares that he has no conflict of interest.

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The procedure performed in this study involving a human participant was in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.

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Informed consent was obtained from the participant included in the study.

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Zeybek, B., Borahay, M. & Kilic, G.S. Overcoming the obstacles of visualization in robotically assisted abdominal cerclage using indocyanine green. J Robotic Surg 10, 361–364 (2016). https://doi.org/10.1007/s11701-016-0585-9

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  • DOI: https://doi.org/10.1007/s11701-016-0585-9

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