Intraoperative Utilization of Indocyanine Green (ICG) Dye for the Assessment of Ovarian Perfusion—Case Report and Review of the Literature

Abstract

The assessment of ovarian perfusion after detorsion is crucial in the surgical management of patients with ovarian torsion. In current routine clinical practice, the surgical decision (preservation of the ovary versus oophorectomy) is based on the subjective impression of the surgeon. Intraoperative indocyanine green (ICG) angiography has been shown to sufficiently reflect tissue perfusion with a potential impact on the surgical procedure. Currently, there are only sparse data available on the utilization of ICG in the surgical treatment of ovarian torsion. Here, we describe the successful intraoperative use of ICG in a 17-year-old female patient with ovarian torsion who underwent ovary-preserving surgery. Further, a systematic literature review was performed. Based on the data available to date, the use of ICG in the surgical treatment of ovarian torsion is feasible and safe. The extent to which this might reduce the necessity for oophorectomy has to be evaluated in further investigations.

Indocyanine green (ICG) fluorescence technology in pediatric robotic surgery

“…ICG-enhanced fluorescence imaging holds significant utility in pediatric and adolescent gynecologic conditions, extending beyond cancer to encompass various benign pathological conditions and emergencies [ 29 ]. Specifically, in cases of ovarian torsion, intravenous injection of ICG enables visualization of the ovarian vascular network and the exact point of torsion in the ovarian vessels.…”