Our Summary

This study examined the use of a method called indocyanine green (ICG) fluorescence-guided surgery (FGS) in robotic surgery for children. Over seven years, data from 55 children who underwent this type of surgery at three different institutions was studied. The surgeries included a variety of procedures, such as repairing kidney blockages, reimplanting ureters, and removing various types of tissue or cysts.

ICG is a dye that is injected into the body and can be viewed with a special camera, helping surgeons to more clearly see the areas they are working on. For the majority of the procedures, the dye was injected into the bloodstream, but for certain surgeries it was injected directly into the testicles or through a catheter.

The dye was used in all surgeries without any allergic reactions or other complications. The researchers found that it greatly improved the surgeons’ ability to see the organs or tissues they were working on.

The study concluded that this technique is safe, practical, and versatile. The researchers suggest that it should be considered as a standard part of certain procedures, such as partial kidney removal, varicocele repair, tumor removal, and fixing twisted ovaries. However, they also state that more research is needed to explore other possible uses in pediatric urology.

FAQs

  1. What is indocyanine green (ICG) fluorescence-guided surgery (FGS)?
  2. How does ICG help surgeons during surgeries?
  3. Are there any complications or side effects from using the ICG technique?

Doctor’s Tip

One helpful tip a doctor might tell a patient about ovarian cyst removal is to ask about the use of ICG fluorescence-guided surgery. This method can help the surgeon better visualize the cyst and surrounding tissues, leading to more precise and successful removal. It is important to discuss all available options with your healthcare provider to determine the best approach for your individual case.

Suitable For

Patients who are typically recommended for ovarian cyst removal include those who have:

  • Large cysts that are causing symptoms such as pelvic pain, bloating, or pressure
  • Cysts that are persistent and do not go away on their own
  • Cysts that are complex or have suspicious features that may indicate a risk of malignancy
  • Cysts that are causing complications such as torsion (twisting) or rupture
  • Patients who are at high risk for developing ovarian cancer, such as those with a family history of the disease or certain genetic mutations

It is important for patients to discuss their individual case with their healthcare provider to determine if ovarian cyst removal is the best course of action for them.

Timeline

Before ovarian cyst removal:

  1. Patient experiences symptoms such as pelvic pain, bloating, and changes in menstrual cycle.
  2. Patient undergoes a physical examination and imaging tests (ultrasound, MRI) to diagnose the ovarian cyst.
  3. Patient may be prescribed pain medication or hormonal therapy to manage symptoms.
  4. Patient discusses treatment options with their healthcare provider, including the possibility of surgery to remove the cyst.

After ovarian cyst removal:

  1. Patient undergoes pre-operative tests and preparation for surgery.
  2. Ovarian cyst removal surgery is performed, either through laparoscopic or open surgery.
  3. Patient is monitored in the recovery room and may stay in the hospital for a day or two.
  4. Patient experiences post-operative pain, fatigue, and may have restrictions on activities for a few weeks.
  5. Patient follows up with their healthcare provider for post-operative care and monitoring.
  6. Patient may experience relief from symptoms and improved ovarian health after the cyst removal surgery.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with ovarian cyst removal surgery?
  2. How long is the recovery period following ovarian cyst removal surgery?
  3. Will I need to take any medication or follow a specific post-operative care plan?
  4. Are there any long-term effects or implications of having an ovarian cyst removed?
  5. Will I still be able to have children after ovarian cyst removal surgery?
  6. What type of anesthesia will be used during the surgery?
  7. How experienced are you in performing ovarian cyst removal surgeries?
  8. Will I need to undergo any additional tests or imaging before the surgery?
  9. Are there any alternative treatment options available for my ovarian cyst?
  10. What is the success rate of ovarian cyst removal surgery in terms of preventing the cyst from returning?

Reference

Authors: Esposito C, Masieri L, Cerulo M, Castagnetti M, Del Conte F, Di Mento C, Esposito G, Tedesco F, Carulli R, Continisio L, Chiodi A, Escolino M. Journal: J Robot Surg. 2024 May 10;18(1):209. doi: 10.1007/s11701-024-01968-w. PMID: 38727915