Premium
Use of video microsurgery platform in microsurgical subinguinal varicocelectomy with indocyanine green angiography
Author(s) -
Cho ChakLam,
Chu Ringo WingHong
Publication year - 2019
Publication title -
surgical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.109
H-Index - 10
eISSN - 1744-1633
pISSN - 1744-1625
DOI - 10.1111/1744-1633.12358
Subject(s) - medicine , microsurgery , indocyanine green , indocyanine green angiography , surgery , angiography , radiology , fluorescein angiography , visual acuity
Aim The aim of the present study was to evaluate the feasibility of the use of the video microsurgery platform and fluorescence imaging exoscope system for microsurgical subinguinal varicocoelectomy (MSV) with intraoperative indocyanine green angiography (ICGA). Patients and Methods Two patients with three varicoceles had MSV and intraoperative ICGA performed in August 2018. A video telescopic operating microscope (VITOM) 3‐D system and a VITOM II ICG system were connected to a modular FULL HD IMAGE1 S camera platform. Both telescopes were mounted for convenient positioning and switch between the telescopes. Results The VITOM 3‐D system provided excellent, high‐definition image quality and anatomical details necessary for the procedure of MSV. The system offered a more ergonomic working environment for the operating surgeons. The addition of VITOM II ICG system allowed intraoperative ICGA for better identification of the testicular artery. Testicular arteries were clearly identified and preserved. The setup with holding arms and a camera platform facilitated quick switch between the video systems. Conclusions The procedure of MSV with intraoperative ICGA can be performed efficiently with the utilization of the video microsurgery platform.