title: Indocyanine Green Fluorescence Imaging in the Surgical Management of an Iatrogenic Lymphatic Fistula: Description of a Surgical Technique.
abstract: We present a case of laparoscopic surgical management of an iatrogenic lymphorrhea using indocyanine green (ICG). A case of a patient who developed recurrent symptomatic lymphorrhea after laparoscopic radical hysterectomy and bilateral pelvic lymphadenectomy for an early stage cervical cancer is presented. Intraoperative bipedal interdigital subcutaneous injection of ICG exactly localized the disrupted lymphatic duct on fluorescence imaging performed with a near-infrared laparoscopic fluorescent optic device, thus allowing a successful surgical repair.
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital of Berne and University of Berne, Berne, Switzerland.
authors.forename: Andrea
authors.initials: A
authors.lastname: Papadia
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital of Berne and University of Berne, Berne, Switzerland. Electronic address: Sara.imboden@insel.ch.
authors.forename: Sara
authors.initials: S
authors.lastname: Imboden
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital of Berne and University of Berne, Berne, Switzerland.
authors.forename: Stefan
authors.initials: S
authors.lastname: Mohr
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital of Berne and University of Berne, Berne, Switzerland.
authors.forename: Susanne
authors.initials: S
authors.lastname: Lanz
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital of Berne and University of Berne, Berne, Switzerland.
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Nirgianakis
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital of Berne and University of Berne, Berne, Switzerland.
authors.forename: Michael D
authors.initials: MD
authors.lastname: Mueller
mesh_terms: D004396:Coloring Agents; D003952:Diagnostic Imaging; D005260:Female; D005402:Fistula / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D007049:Iatrogenic Disease; D007208:Indocyanine Green; D010535:Laparoscopy / Q000009:adverse effects*; D008197:Lymph Node Excision / Q000009:adverse effects*; D008206:Lymphatic Diseases / Q000175:diagnosis* / Q000601:surgery; D008875:Middle Aged; D016896:Treatment Outcome; D002583:Uterine Cervical Neoplasms / Q000601:surgery*
chemical_list: D004396:Coloring Agents; D007208:Indocyanine Green
keywords: Indocyanine green fluorescence; Laparoscopy; Lymphorrhea