title: Robotic repair of vaginal evisceration after hysterectomy and the role of intraoperative near-infrared fluorescence imaging.
abstract: Vaginal evisceration of the small bowel is a rare and potentially life-threatening complication after hysterectomy. This complication requires prompt surgical management and methods of surgical repair include abdominal, vaginal or laparoscopic approaches. We report the first case of robotic approach for repair of vaginal evisceration and intraoperative use of near-infrared fluorescence imaging for the assessment of bowel perfusion in a 63-year-old postmenopausal woman with a history of robotic hysterectomy for cervix cancer. This case demonstrates the safety and feasibility of robotic surgery and the advantage of using intraoperative near-infrared fluorescence imaging for bowel perfusion, a critical factor for surgical decision-making.
authors.affiliation: Acibadem University Medical School, Istanbul, Turkey.
authors.forename: Melis
authors.initials: M
authors.lastname: Canturk
authors.affiliation: Department of General Surgery, Acibadem University Medical School, Atakent Hospital, Halkali Merkez Mah. Turgut Ozal Bulvari, No:16, PO box: 34303, Istanbul, Turkey. volkanozben@yahoo.co.uk.
authors.forename: Volkan
authors.identifier: http://orcid.org/0000-0002-9620-5080
authors.initials: V
authors.lastname: Ozben
authors.affiliation: Department of Obstetrics and Gynecology, Acibadem University Medical School, Atakent Hospital, Istanbul, Turkey.
authors.forename: Mehmet Faruk
authors.initials: MF
authors.lastname: Kose
authors.affiliation: Department of General Surgery, Acibadem University Medical School, Atakent Hospital, Halkali Merkez Mah. Turgut Ozal Bulvari, No:16, PO box: 34303, Istanbul, Turkey.
authors.forename: Bilgi
authors.initials: B
authors.lastname: Baca
mesh_terms: D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects* / Q000379:methods; D007421:Intestine, Small / Q000601:surgery; D007430:Intraoperative Care; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D065287:Robotic Surgical Procedures / Q000379:methods*; D013050:Spectrometry, Fluorescence; D019265:Spectroscopy, Near-Infrared; D025321:Surgery, Computer-Assisted / Q000379:methods; D002583:Uterine Cervical Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D014621:Vagina / Q000000981:diagnostic imaging / Q000601:surgery*; D014781:Viscera / Q000601:surgery; D014782:Visceral Prolapse / Q000601:surgery
keywords: Near-infrared fluorescence imaging; Robotic surgery; Vaginal evisceration