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.
References
Foster TL, Addleman RN, Moore ES, Sumners JE (2013) Robotic-assisted prophylactic transabdominal cervical cerclage in singleton pregnancies. J Obstet Gynaec Nov 33(8):821–822
Tulandi T, Alghanaim N, Hakeem G, Tan X (2014) Pre and post-conceptional abdominal cerclage by laparoscopy or laparotomy. J Minim Invasive Gynecol 21(6):987–993
Burger NB, Brölmann HA, Einarsson JI, Langebrekke A, Huirne JA (2011) Effectiveness of abdominal cerclage placed via laparotomy or laparoscopy: systematic review. J Minim Invasive Gynecol 18(6):696–704
Barmat L, Glaser G, Davis G, Craparo F (2007) Da Vinci-assisted abdominal cerclage. Fertil Steril 88(5):1437.e1–e3
Marano A, Priora F, Lenti LM, Ravazzoni F, Quarati R, Spinoglio G (2013) Application of fluorescence in robotic general surgery: review of the literature and state of the art. World J Surg 37(12):2800–2811
Tobis S, Knopf J, Silvers C, Yao J, Rashid H, Wu G et al (2011) Near infrared fluorescenceimaging with robotic assisted laparoscopic partial nephrectomy: initial clinical experience for renal cortical tumors. J Urol 186:47–52
Spinoglio G, Priora F, Bianchi PP, Lucido FS, Licciardello A, Maglione V et al (2013) Real-time near-infrared (NIR) fluorescent cholangiography in single-site robotic cholecystectomy (SSRC): a single-institutional prospective study. Surg Endosc 27:2156–2162
Sherwinter DA, Gallagher J, Donkar T (2013) Intra-operative transanal near infrared imaging of colorectal anastomotic perfusion: a feasibility study. Colorectal Dis 15:91–96
Holloway RW, Bravo RA, Rakowski JA, James JA, Jeppson CN, Ingersoll SB et al (2012) Detection of sentinel lymph nodes in patients with endometrial cancer undergoing robotic-assisted staging: a comparison of colorimetric and fluorescence imaging. Gynecol Oncol 126:25–29
Rossi EC, Ivanova A, Boggess JF (2012) Robotically assisted fluorescence-guided lymph node mapping with ICG for gynecologic malignancies: a feasibility study. Gynecol Oncol 124:78–82
Alford R, Simpson HM, Duberman J, Hill GC, Ogawa M, Regino C et al (2009) Toxicity of organic fluorophores used in molecular imaging: literature review. Mol Imaging 8:341–354
Speich R, Saesseli B, Hoffmann U, Neftel KA, Reichen J (1988) Anaphylactoid reactions after indocyanine-green administration. Ann Intern Med 109:345–346
Kochubey VI, Kulyabina TV, Tuchin VV (2005) Spectral characteristics of indocyanine green upon its interaction with biological tissues. Opt Spectrosc 99:560–566
Rudolf H, Göretzlehner G, Brügmann E, Töwe J, Rudolf K (1977) Assessment of liver function using indocyanine green (Ujoviridin) during normal pregnancy, during labor and in puerperium. Zentralbl Gynakol 99(25):1548–1553
Probst P, Paumgartner G, Caucig H, Fröhlich H, Grabner G (1970) Studies on clearance and placental transfer of indocyanine green during labor. Clin Chim Acta 29(1):157–160
Shimizu S, Kamiike W, Hatanaka N, Yoshida Y, Tagawa K, Miyata M et al (1995) New method for measuring ICG Rmax with a clearance meter. World J Surg 19:113–118
Frangioni JV (2008) New technologies for human cancer imaging. J Clin Oncol 26:4012–4021
Schols RM, Bouvy ND, Masclee AA, van Dam RM, Dejong CH, Stassen LP (2013) Fluorescence cholangiography during laparoscopic cholecystectomy: a feasibility study on early biliary tract delineation. Surg Endosc 27:1530–1536
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Funding
No funding was received for this study.
Conflict of interest
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.
Ethical approval
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.
Informed consent
Informed consent was obtained from the participant included in the study.
Rights and permissions
About this article
Cite this article
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
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11701-016-0585-9