Surgical Film Library-Near-Infrared Angiography For Assessment Of Rectosigmoid Anastomoses In Gynecologic Surgery

Near-Infrared Angiography For Assessment Of Rectosigmoid Anastomoses In Gynecologic Surgery

Video Transcription

Video Summary

Optimal cytoreductive surgery in advanced ovarian cancer often requires rectosigmoid resection. This procedure risks anastomotic leakage, linked to poor blood supply. Traditionally, perfusion assessment was subjective, but near-infrared (NIR) angiography with indocyanine green (ICG) dye now allows real-time visualization of vascular perfusion. The video demonstrates setup and use of a pinpoint endoscopic fluorescence system to assess blood flow during surgery. ICG dye is injected intravenously, and perfusion defects guide additional resections to ensure well-perfused anastomosis. This technique reduces complications, is rapid, safe, and improves outcomes in gynecologic oncology surgeries.

Asset Subtitle

Tiffany Sia, United States

Meta Tag

Route Open

Skill Level Expert

Surgical Location Mid-abdomen

Keywords

Open

Mid-abdomen

Expert

cytoreductive surgery

advanced ovarian cancer

rectosigmoid resection

indocyanine green angiography

anastomotic perfusion assessment