Unveiling the Invisible: Complication of Laparoscopic Sacrocolpopexy Illuminated by Transcervical Injection of ICG.

ABSTRACT:

Introduction

A 57-year-old patient was referred to our tertiary referral urogynecology unit due to persistent and profuse vaginal discharge 1 year after undergoing laparoscopic sacrocolpopexy with subtotal hysterectomy for apical prolapse. During clinical examination, abundant yellowish discharge from the cervix was observed. Creatinine testing and Uro-CT excluded vesicovaginal or ureterovaginal fistulas and large abscesses. However, owing to suspected infection and the patient's poor quality of life, a decision was made to proceed with laparoscopic revision.

Results and methods

Intraoperatively, transcervical injection of ICG (indocyanine green) successfully illuminated a hidden retroperitoneal sinus and a low-volume abscess extending to the sacral promontory. Therefore, th

SUBMITTER: Ruggeri G 

PROVIDER: S-EPMC12578747 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature