Novel use of indocyanine green fluorescence in total laparoscopic sigmoid colon vaginoplasty

Introduction The use of the sigmoid colon to make neovagina in patients with vaginal agenesis is well established. However, it is considered a complicated procedure involving bowel resection and anastomosis. We describe the novel use of indocyanine green fluorescence in total laparoscopic sigmoid va...
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Autor*in:	Saxena, Rahul [verfasserIn] Agarwal, Tripti Pathak, Manish Sinha, Arvind

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	Laparoscopic Sigmoid colon Vaginoplasty

Anmerkung:	© The Author(s), under exclusive licence to Springer Nature Singapore Pte Ltd 2022. Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Übergeordnetes Werk:	Enthalten in: Journal of pediatric endoscopic surgery - [Singapore] : Springer Singapore, 2019, 4(2022), 4 vom: 12. Aug., Seite 181-184
Übergeordnetes Werk:	volume:4 ; year:2022 ; number:4 ; day:12 ; month:08 ; pages:181-184

Links:	Volltext

DOI / URN:	10.1007/s42804-022-00153-w

Katalog-ID:	SPR048866431

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520			\|a Introduction The use of the sigmoid colon to make neovagina in patients with vaginal agenesis is well established. However, it is considered a complicated procedure involving bowel resection and anastomosis. We describe the novel use of indocyanine green fluorescence in total laparoscopic sigmoid vaginoplasty. Method A 16-year-old 46 XX girl with normal secondary sexual characteristics and female external genitalia was diagnosed with MRKH syndrome. The patient underwent laparoscopic-assisted sigmoid colon vaginoplasty with indocyanine green (ICG) fluorescence to delineate the vascular anatomy of the sigmoid graft. A 10 cm long sigmoid graft was pulled through the abdominoperineal tunnel in an iso-peristaltic fashion. The real-time perfusion of the sigmoid graft and the remaining sigmoid colon was also confirmed by the ICG fluorescence. Results The patient had an uneventful recovery in the postoperative period and the patient was discharged on the seventh day. The patient was kept on regular vaginal irrigations and dilatation initial 3 months. After 1 year of follow-up, the neovagina is healthy and the patient needs occasional vaginal washes while she is advised to perform intermittent introital calibrations. Conclusion Total laparoscopic sigmoid vaginoplasty is a favorable procedure for MRKH syndrome patients, especially for pediatric surgeons who are familiar with bowel resections. The cosmetic outcomes of the abdominal port site wounds are good. The novel use of ICG fluorescence during the procedure confirms the perfusion of the bowel and has a possible role in reducing vascularity-related complications.
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allfields	10.1007/s42804-022-00153-w doi (DE-627)SPR048866431 (SPR)s42804-022-00153-w-e DE-627 ger DE-627 rakwb eng Saxena, Rahul verfasserin aut Novel use of indocyanine green fluorescence in total laparoscopic sigmoid colon vaginoplasty 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s), under exclusive licence to Springer Nature Singapore Pte Ltd 2022. Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. Introduction The use of the sigmoid colon to make neovagina in patients with vaginal agenesis is well established. However, it is considered a complicated procedure involving bowel resection and anastomosis. We describe the novel use of indocyanine green fluorescence in total laparoscopic sigmoid vaginoplasty. Method A 16-year-old 46 XX girl with normal secondary sexual characteristics and female external genitalia was diagnosed with MRKH syndrome. The patient underwent laparoscopic-assisted sigmoid colon vaginoplasty with indocyanine green (ICG) fluorescence to delineate the vascular anatomy of the sigmoid graft. A 10 cm long sigmoid graft was pulled through the abdominoperineal tunnel in an iso-peristaltic fashion. The real-time perfusion of the sigmoid graft and the remaining sigmoid colon was also confirmed by the ICG fluorescence. Results The patient had an uneventful recovery in the postoperative period and the patient was discharged on the seventh day. The patient was kept on regular vaginal irrigations and dilatation initial 3 months. After 1 year of follow-up, the neovagina is healthy and the patient needs occasional vaginal washes while she is advised to perform intermittent introital calibrations. Conclusion Total laparoscopic sigmoid vaginoplasty is a favorable procedure for MRKH syndrome patients, especially for pediatric surgeons who are familiar with bowel resections. The cosmetic outcomes of the abdominal port site wounds are good. The novel use of ICG fluorescence during the procedure confirms the perfusion of the bowel and has a possible role in reducing vascularity-related complications. Laparoscopic (dpeaa)DE-He213 Sigmoid colon (dpeaa)DE-He213 Vaginoplasty (dpeaa)DE-He213 Agarwal, Tripti aut Pathak, Manish (orcid)0000-0001-6385-1812 aut Sinha, Arvind aut Enthalten in Journal of pediatric endoscopic surgery [Singapore] : Springer Singapore, 2019 4(2022), 4 vom: 12. Aug., Seite 181-184 (DE-627)1662446705 (DE-600)2967358-6 2524-7883 nnns volume:4 year:2022 number:4 day:12 month:08 pages:181-184 https://dx.doi.org/10.1007/s42804-022-00153-w lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 4 2022 4 12 08 181-184
spelling	10.1007/s42804-022-00153-w doi (DE-627)SPR048866431 (SPR)s42804-022-00153-w-e DE-627 ger DE-627 rakwb eng Saxena, Rahul verfasserin aut Novel use of indocyanine green fluorescence in total laparoscopic sigmoid colon vaginoplasty 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s), under exclusive licence to Springer Nature Singapore Pte Ltd 2022. Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. Introduction The use of the sigmoid colon to make neovagina in patients with vaginal agenesis is well established. However, it is considered a complicated procedure involving bowel resection and anastomosis. We describe the novel use of indocyanine green fluorescence in total laparoscopic sigmoid vaginoplasty. Method A 16-year-old 46 XX girl with normal secondary sexual characteristics and female external genitalia was diagnosed with MRKH syndrome. The patient underwent laparoscopic-assisted sigmoid colon vaginoplasty with indocyanine green (ICG) fluorescence to delineate the vascular anatomy of the sigmoid graft. A 10 cm long sigmoid graft was pulled through the abdominoperineal tunnel in an iso-peristaltic fashion. The real-time perfusion of the sigmoid graft and the remaining sigmoid colon was also confirmed by the ICG fluorescence. Results The patient had an uneventful recovery in the postoperative period and the patient was discharged on the seventh day. The patient was kept on regular vaginal irrigations and dilatation initial 3 months. After 1 year of follow-up, the neovagina is healthy and the patient needs occasional vaginal washes while she is advised to perform intermittent introital calibrations. Conclusion Total laparoscopic sigmoid vaginoplasty is a favorable procedure for MRKH syndrome patients, especially for pediatric surgeons who are familiar with bowel resections. The cosmetic outcomes of the abdominal port site wounds are good. The novel use of ICG fluorescence during the procedure confirms the perfusion of the bowel and has a possible role in reducing vascularity-related complications. Laparoscopic (dpeaa)DE-He213 Sigmoid colon (dpeaa)DE-He213 Vaginoplasty (dpeaa)DE-He213 Agarwal, Tripti aut Pathak, Manish (orcid)0000-0001-6385-1812 aut Sinha, Arvind aut Enthalten in Journal of pediatric endoscopic surgery [Singapore] : Springer Singapore, 2019 4(2022), 4 vom: 12. Aug., Seite 181-184 (DE-627)1662446705 (DE-600)2967358-6 2524-7883 nnns volume:4 year:2022 number:4 day:12 month:08 pages:181-184 https://dx.doi.org/10.1007/s42804-022-00153-w lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 4 2022 4 12 08 181-184
allfields_unstemmed	10.1007/s42804-022-00153-w doi (DE-627)SPR048866431 (SPR)s42804-022-00153-w-e DE-627 ger DE-627 rakwb eng Saxena, Rahul verfasserin aut Novel use of indocyanine green fluorescence in total laparoscopic sigmoid colon vaginoplasty 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s), under exclusive licence to Springer Nature Singapore Pte Ltd 2022. Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. Introduction The use of the sigmoid colon to make neovagina in patients with vaginal agenesis is well established. However, it is considered a complicated procedure involving bowel resection and anastomosis. We describe the novel use of indocyanine green fluorescence in total laparoscopic sigmoid vaginoplasty. Method A 16-year-old 46 XX girl with normal secondary sexual characteristics and female external genitalia was diagnosed with MRKH syndrome. The patient underwent laparoscopic-assisted sigmoid colon vaginoplasty with indocyanine green (ICG) fluorescence to delineate the vascular anatomy of the sigmoid graft. A 10 cm long sigmoid graft was pulled through the abdominoperineal tunnel in an iso-peristaltic fashion. The real-time perfusion of the sigmoid graft and the remaining sigmoid colon was also confirmed by the ICG fluorescence. Results The patient had an uneventful recovery in the postoperative period and the patient was discharged on the seventh day. The patient was kept on regular vaginal irrigations and dilatation initial 3 months. After 1 year of follow-up, the neovagina is healthy and the patient needs occasional vaginal washes while she is advised to perform intermittent introital calibrations. Conclusion Total laparoscopic sigmoid vaginoplasty is a favorable procedure for MRKH syndrome patients, especially for pediatric surgeons who are familiar with bowel resections. The cosmetic outcomes of the abdominal port site wounds are good. The novel use of ICG fluorescence during the procedure confirms the perfusion of the bowel and has a possible role in reducing vascularity-related complications. Laparoscopic (dpeaa)DE-He213 Sigmoid colon (dpeaa)DE-He213 Vaginoplasty (dpeaa)DE-He213 Agarwal, Tripti aut Pathak, Manish (orcid)0000-0001-6385-1812 aut Sinha, Arvind aut Enthalten in Journal of pediatric endoscopic surgery [Singapore] : Springer Singapore, 2019 4(2022), 4 vom: 12. Aug., Seite 181-184 (DE-627)1662446705 (DE-600)2967358-6 2524-7883 nnns volume:4 year:2022 number:4 day:12 month:08 pages:181-184 https://dx.doi.org/10.1007/s42804-022-00153-w lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 4 2022 4 12 08 181-184
allfieldsGer	10.1007/s42804-022-00153-w doi (DE-627)SPR048866431 (SPR)s42804-022-00153-w-e DE-627 ger DE-627 rakwb eng Saxena, Rahul verfasserin aut Novel use of indocyanine green fluorescence in total laparoscopic sigmoid colon vaginoplasty 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s), under exclusive licence to Springer Nature Singapore Pte Ltd 2022. Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. Introduction The use of the sigmoid colon to make neovagina in patients with vaginal agenesis is well established. However, it is considered a complicated procedure involving bowel resection and anastomosis. We describe the novel use of indocyanine green fluorescence in total laparoscopic sigmoid vaginoplasty. Method A 16-year-old 46 XX girl with normal secondary sexual characteristics and female external genitalia was diagnosed with MRKH syndrome. The patient underwent laparoscopic-assisted sigmoid colon vaginoplasty with indocyanine green (ICG) fluorescence to delineate the vascular anatomy of the sigmoid graft. A 10 cm long sigmoid graft was pulled through the abdominoperineal tunnel in an iso-peristaltic fashion. The real-time perfusion of the sigmoid graft and the remaining sigmoid colon was also confirmed by the ICG fluorescence. Results The patient had an uneventful recovery in the postoperative period and the patient was discharged on the seventh day. The patient was kept on regular vaginal irrigations and dilatation initial 3 months. After 1 year of follow-up, the neovagina is healthy and the patient needs occasional vaginal washes while she is advised to perform intermittent introital calibrations. Conclusion Total laparoscopic sigmoid vaginoplasty is a favorable procedure for MRKH syndrome patients, especially for pediatric surgeons who are familiar with bowel resections. The cosmetic outcomes of the abdominal port site wounds are good. The novel use of ICG fluorescence during the procedure confirms the perfusion of the bowel and has a possible role in reducing vascularity-related complications. Laparoscopic (dpeaa)DE-He213 Sigmoid colon (dpeaa)DE-He213 Vaginoplasty (dpeaa)DE-He213 Agarwal, Tripti aut Pathak, Manish (orcid)0000-0001-6385-1812 aut Sinha, Arvind aut Enthalten in Journal of pediatric endoscopic surgery [Singapore] : Springer Singapore, 2019 4(2022), 4 vom: 12. Aug., Seite 181-184 (DE-627)1662446705 (DE-600)2967358-6 2524-7883 nnns volume:4 year:2022 number:4 day:12 month:08 pages:181-184 https://dx.doi.org/10.1007/s42804-022-00153-w lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 4 2022 4 12 08 181-184
allfieldsSound	10.1007/s42804-022-00153-w doi (DE-627)SPR048866431 (SPR)s42804-022-00153-w-e DE-627 ger DE-627 rakwb eng Saxena, Rahul verfasserin aut Novel use of indocyanine green fluorescence in total laparoscopic sigmoid colon vaginoplasty 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s), under exclusive licence to Springer Nature Singapore Pte Ltd 2022. Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. Introduction The use of the sigmoid colon to make neovagina in patients with vaginal agenesis is well established. However, it is considered a complicated procedure involving bowel resection and anastomosis. We describe the novel use of indocyanine green fluorescence in total laparoscopic sigmoid vaginoplasty. Method A 16-year-old 46 XX girl with normal secondary sexual characteristics and female external genitalia was diagnosed with MRKH syndrome. The patient underwent laparoscopic-assisted sigmoid colon vaginoplasty with indocyanine green (ICG) fluorescence to delineate the vascular anatomy of the sigmoid graft. A 10 cm long sigmoid graft was pulled through the abdominoperineal tunnel in an iso-peristaltic fashion. The real-time perfusion of the sigmoid graft and the remaining sigmoid colon was also confirmed by the ICG fluorescence. Results The patient had an uneventful recovery in the postoperative period and the patient was discharged on the seventh day. The patient was kept on regular vaginal irrigations and dilatation initial 3 months. After 1 year of follow-up, the neovagina is healthy and the patient needs occasional vaginal washes while she is advised to perform intermittent introital calibrations. Conclusion Total laparoscopic sigmoid vaginoplasty is a favorable procedure for MRKH syndrome patients, especially for pediatric surgeons who are familiar with bowel resections. The cosmetic outcomes of the abdominal port site wounds are good. The novel use of ICG fluorescence during the procedure confirms the perfusion of the bowel and has a possible role in reducing vascularity-related complications. Laparoscopic (dpeaa)DE-He213 Sigmoid colon (dpeaa)DE-He213 Vaginoplasty (dpeaa)DE-He213 Agarwal, Tripti aut Pathak, Manish (orcid)0000-0001-6385-1812 aut Sinha, Arvind aut Enthalten in Journal of pediatric endoscopic surgery [Singapore] : Springer Singapore, 2019 4(2022), 4 vom: 12. Aug., Seite 181-184 (DE-627)1662446705 (DE-600)2967358-6 2524-7883 nnns volume:4 year:2022 number:4 day:12 month:08 pages:181-184 https://dx.doi.org/10.1007/s42804-022-00153-w lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 4 2022 4 12 08 181-184
language	English
source	Enthalten in Journal of pediatric endoscopic surgery 4(2022), 4 vom: 12. Aug., Seite 181-184 volume:4 year:2022 number:4 day:12 month:08 pages:181-184
sourceStr	Enthalten in Journal of pediatric endoscopic surgery 4(2022), 4 vom: 12. Aug., Seite 181-184 volume:4 year:2022 number:4 day:12 month:08 pages:181-184
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Laparoscopic Sigmoid colon Vaginoplasty
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container_title	Journal of pediatric endoscopic surgery
authorswithroles_txt_mv	Saxena, Rahul @@aut@@ Agarwal, Tripti @@aut@@ Pathak, Manish @@aut@@ Sinha, Arvind @@aut@@
publishDateDaySort_date	2022-08-12T00:00:00Z
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author	Saxena, Rahul
spellingShingle	Saxena, Rahul misc Laparoscopic misc Sigmoid colon misc Vaginoplasty Novel use of indocyanine green fluorescence in total laparoscopic sigmoid colon vaginoplasty
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topic_title	Novel use of indocyanine green fluorescence in total laparoscopic sigmoid colon vaginoplasty Laparoscopic (dpeaa)DE-He213 Sigmoid colon (dpeaa)DE-He213 Vaginoplasty (dpeaa)DE-He213
topic	misc Laparoscopic misc Sigmoid colon misc Vaginoplasty
topic_unstemmed	misc Laparoscopic misc Sigmoid colon misc Vaginoplasty
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title	Novel use of indocyanine green fluorescence in total laparoscopic sigmoid colon vaginoplasty
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title_full	Novel use of indocyanine green fluorescence in total laparoscopic sigmoid colon vaginoplasty
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author_browse	Saxena, Rahul Agarwal, Tripti Pathak, Manish Sinha, Arvind
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title_sort	novel use of indocyanine green fluorescence in total laparoscopic sigmoid colon vaginoplasty
title_auth	Novel use of indocyanine green fluorescence in total laparoscopic sigmoid colon vaginoplasty
abstract	Introduction The use of the sigmoid colon to make neovagina in patients with vaginal agenesis is well established. However, it is considered a complicated procedure involving bowel resection and anastomosis. We describe the novel use of indocyanine green fluorescence in total laparoscopic sigmoid vaginoplasty. Method A 16-year-old 46 XX girl with normal secondary sexual characteristics and female external genitalia was diagnosed with MRKH syndrome. The patient underwent laparoscopic-assisted sigmoid colon vaginoplasty with indocyanine green (ICG) fluorescence to delineate the vascular anatomy of the sigmoid graft. A 10 cm long sigmoid graft was pulled through the abdominoperineal tunnel in an iso-peristaltic fashion. The real-time perfusion of the sigmoid graft and the remaining sigmoid colon was also confirmed by the ICG fluorescence. Results The patient had an uneventful recovery in the postoperative period and the patient was discharged on the seventh day. The patient was kept on regular vaginal irrigations and dilatation initial 3 months. After 1 year of follow-up, the neovagina is healthy and the patient needs occasional vaginal washes while she is advised to perform intermittent introital calibrations. Conclusion Total laparoscopic sigmoid vaginoplasty is a favorable procedure for MRKH syndrome patients, especially for pediatric surgeons who are familiar with bowel resections. The cosmetic outcomes of the abdominal port site wounds are good. The novel use of ICG fluorescence during the procedure confirms the perfusion of the bowel and has a possible role in reducing vascularity-related complications. © The Author(s), under exclusive licence to Springer Nature Singapore Pte Ltd 2022. Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
abstractGer	Introduction The use of the sigmoid colon to make neovagina in patients with vaginal agenesis is well established. However, it is considered a complicated procedure involving bowel resection and anastomosis. We describe the novel use of indocyanine green fluorescence in total laparoscopic sigmoid vaginoplasty. Method A 16-year-old 46 XX girl with normal secondary sexual characteristics and female external genitalia was diagnosed with MRKH syndrome. The patient underwent laparoscopic-assisted sigmoid colon vaginoplasty with indocyanine green (ICG) fluorescence to delineate the vascular anatomy of the sigmoid graft. A 10 cm long sigmoid graft was pulled through the abdominoperineal tunnel in an iso-peristaltic fashion. The real-time perfusion of the sigmoid graft and the remaining sigmoid colon was also confirmed by the ICG fluorescence. Results The patient had an uneventful recovery in the postoperative period and the patient was discharged on the seventh day. The patient was kept on regular vaginal irrigations and dilatation initial 3 months. After 1 year of follow-up, the neovagina is healthy and the patient needs occasional vaginal washes while she is advised to perform intermittent introital calibrations. Conclusion Total laparoscopic sigmoid vaginoplasty is a favorable procedure for MRKH syndrome patients, especially for pediatric surgeons who are familiar with bowel resections. The cosmetic outcomes of the abdominal port site wounds are good. The novel use of ICG fluorescence during the procedure confirms the perfusion of the bowel and has a possible role in reducing vascularity-related complications. © The Author(s), under exclusive licence to Springer Nature Singapore Pte Ltd 2022. Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
abstract_unstemmed	Introduction The use of the sigmoid colon to make neovagina in patients with vaginal agenesis is well established. However, it is considered a complicated procedure involving bowel resection and anastomosis. We describe the novel use of indocyanine green fluorescence in total laparoscopic sigmoid vaginoplasty. Method A 16-year-old 46 XX girl with normal secondary sexual characteristics and female external genitalia was diagnosed with MRKH syndrome. The patient underwent laparoscopic-assisted sigmoid colon vaginoplasty with indocyanine green (ICG) fluorescence to delineate the vascular anatomy of the sigmoid graft. A 10 cm long sigmoid graft was pulled through the abdominoperineal tunnel in an iso-peristaltic fashion. The real-time perfusion of the sigmoid graft and the remaining sigmoid colon was also confirmed by the ICG fluorescence. Results The patient had an uneventful recovery in the postoperative period and the patient was discharged on the seventh day. The patient was kept on regular vaginal irrigations and dilatation initial 3 months. After 1 year of follow-up, the neovagina is healthy and the patient needs occasional vaginal washes while she is advised to perform intermittent introital calibrations. Conclusion Total laparoscopic sigmoid vaginoplasty is a favorable procedure for MRKH syndrome patients, especially for pediatric surgeons who are familiar with bowel resections. The cosmetic outcomes of the abdominal port site wounds are good. The novel use of ICG fluorescence during the procedure confirms the perfusion of the bowel and has a possible role in reducing vascularity-related complications. © The Author(s), under exclusive licence to Springer Nature Singapore Pte Ltd 2022. Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
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title_short	Novel use of indocyanine green fluorescence in total laparoscopic sigmoid colon vaginoplasty
url	https://dx.doi.org/10.1007/s42804-022-00153-w
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up_date	2024-07-03T21:57:39.750Z
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fullrecord_marcxml	<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">SPR048866431</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230509122526.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">221213s2022 xx \|\|\|\|\|o 00\| \|\|eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1007/s42804-022-00153-w</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)SPR048866431</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(SPR)s42804-022-00153-w-e</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Saxena, Rahul</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Novel use of indocyanine green fluorescence in total laparoscopic sigmoid colon vaginoplasty</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2022</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">© The Author(s), under exclusive licence to Springer Nature Singapore Pte Ltd 2022. Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Introduction The use of the sigmoid colon to make neovagina in patients with vaginal agenesis is well established. However, it is considered a complicated procedure involving bowel resection and anastomosis. We describe the novel use of indocyanine green fluorescence in total laparoscopic sigmoid vaginoplasty. Method A 16-year-old 46 XX girl with normal secondary sexual characteristics and female external genitalia was diagnosed with MRKH syndrome. The patient underwent laparoscopic-assisted sigmoid colon vaginoplasty with indocyanine green (ICG) fluorescence to delineate the vascular anatomy of the sigmoid graft. A 10 cm long sigmoid graft was pulled through the abdominoperineal tunnel in an iso-peristaltic fashion. The real-time perfusion of the sigmoid graft and the remaining sigmoid colon was also confirmed by the ICG fluorescence. Results The patient had an uneventful recovery in the postoperative period and the patient was discharged on the seventh day. The patient was kept on regular vaginal irrigations and dilatation initial 3 months. After 1 year of follow-up, the neovagina is healthy and the patient needs occasional vaginal washes while she is advised to perform intermittent introital calibrations. Conclusion Total laparoscopic sigmoid vaginoplasty is a favorable procedure for MRKH syndrome patients, especially for pediatric surgeons who are familiar with bowel resections. The cosmetic outcomes of the abdominal port site wounds are good. 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Novel use of indocyanine green fluorescence in total laparoscopic sigmoid colon vaginoplasty

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