The DOI matches its Crossref record; 27 of the 28 references it cites were found in a registry or an index, and 1 are not checked yet.
Indocyanine Green for Assessment of Ureteral Vascularity Can Reduce the Rate of Ureteral Complications in Patients Undergoing Extended Hysterectomy
Open accessAbstract
Objectives: This study aimed to evaluate the effectiveness of using indocyanine green (ICG) for assessing ureteral vascularity to reduce ureteral complications in patients undergoing extended hysterectomy for deep endometriosis or oncological indications. Methods: A retrospective-prospective cohort study was conducted at the Centre of Gynecology in Opole, Poland, involving 555 patients who underwent hysterectomy from 2020 to 2023. Patients were categorized based on the Querleu–Morrow classification. ICG was used intraoperatively for vascular assessment in patients with deep endometriosis undergoing wide ureter dissection typical of Type C hysterectomy. Results: Ureteral complications occurred in 12 (2.2%) patients, with a significantly lower complication rate in those who underwent ICG testing (1.7%) compared to those who did not (22.7%, p = 0.001). Prophylactic double-J stenting further reduced the risk of complications. Conclusions: The use of ICG for intraoperative assessment of ureteral vascularity significantly reduces the risk of ureteral complications in complex hysterectomies. Further studies are needed to confirm these findings.
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“Although the impact of these measures on risk reduction cannot be definitively established, no further rectoureteral fistulas were observed after introducing this preventive approach in our practice [17].”
From Surgically Relative Risk Factors for Lower Colorectal Anastomotic Dehiscence and Rectovaginal Fistulas in Complex Deep Endometriosis Cases: A Single-Center Retrospective-Prospective Cohort Study (2026) · cites this paper as [17]
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Keckstein, J., Sarıdoğan, E., Ulrich, U. A., Sillem, M., Oppelt, P., Schweppe, K.-W., Krentel, H., Janschek, E., Exacoustós, C., Malzoni, M., et al. (2021) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.1111/aogs.14099 · Cited by 368
2017 Update on the Querleu–Morrow Classification of Radical Hysterectomy
Querleu, D., Cibula, D., & Abu‐Rustum, N. R. (2017) · Annals of Surgical Oncology · doi:10.1245/s10434-017-6031-z · Cited by 288
Recommendations for the surgical treatment of endometriosis. Part 2: deep endometriosis †‡¶
Working group of ESGE, E., Keckstein, J., Becker, C. M., Canis, M. J., Féki, A., Grimbizis, G., Hummelshøj, L., Nisolle, M., Roman, H., Sarıdoğan, E., et al. (2020) · Human Reproduction Open · doi:10.1093/hropen/hoaa002 · Cited by 176
Mandovra, P., Kalikar, V., & Patankar, R. V. (2019) · Surgical Innovation · doi:10.1177/1553350619827152 · Cited by 95
Endometriosis and the Urinary Tract: From Diagnosis to Surgical Treatment
Leonardi, M., Espada, M., Kho, R. M., Magrina, J. F., Millischer, A., Savelli, L., & Condous, G. S. (2020) · Diagnostics · doi:10.3390/diagnostics10100771 · Cited by 71
Ureteral Injury in Gynecologic Surgery: A 5-Year Review in A Community Hospital
Park, J. H., Park, J. W., Song, K., & Jo, M. K. (2012) · Korean journal of urology · doi:10.4111/kju.2012.53.2.120 · Cited by 59
Raimondo, D., Borghese, G., Mabrouk, M., Arena, A., Ambrosio, M., Forno, S. D., Esposti, E. D., Casadio, P., Mattioli, G., Mastronardi, M., et al. (2020) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2020.04.004 · Cited by 51
Iatrogenic ureteric injury during abdominal or pelvic surgery: a meta‐analysis
Yanagisawa, T., Mori, K., Quhal, F., Kawada, T., Mostafaei, H., Laukhtina, E., Rajwa, P., Motlagh, R. S., Aydh, A., König, F., et al. (2022) · British Journal of Urology · doi:10.1111/bju.15913 · Cited by 40
Indocyanine green in the surgical management of endometriosis: A systematic review
Ianieri, M. M., Corte, L. D., Campolo, F., Cosentino, F., Catena, U., Bifulco, G., & Scambia, G. (2020) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.1111/aogs.13971 · Cited by 38
Ade-Ojo, I. P., & Tijani, O. (2021) · International Journal of Women s Health · doi:10.2147/ijwh.s330060 · Cited by 32
Research works printed but not linked: 1
- Dallas, 2019, Urologic injury and fistula following hysterectomy for benign indications, J. Urol., 201, e17
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Nowak, K., Dąbrowska, A., Mrugała, M., & Milnerowicz-Nabzdyk, E. (2026) · Journal of Clinical Medicine · doi:10.3390/jcm15072630 · Cited by 1
“Although the impact of these measures on risk reduction cannot be definitively established, no further rectoureteral fistulas were observed after introducing this preventive approach in our practice [17].”
Self-citationMrugała, M., Fiutowski, M., Dąbrowska, A., Nowak, K., & Milnerowicz-Nabzdyk, E. (2026) · Journal of Clinical Medicine · doi:10.3390/jcm15051995 · Cited by 1
Self-citationAmjad, M., Mian, Z. U. H., Urooj, I., & Irfan, F. (2025) · Journal of Robotic Surgery · doi:10.1007/s11701-025-02507-x
Robotic reconstruction in genitourinary tuberculosis: Surmounting technical challenges
Bharath, R., Kalra, S., Ghorai, R. P., Sreenivasan, S. K., Dorairajan, L. N., Bolar, S., Mudhol, R., Priyan, G., Gupta, P., & Bharath, N. L. (2026) · Journal of Minimal Access Surgery · doi:10.4103/jmas.jmas_585_25
Metadata
- Authors
- Mrugała, M., Fiutowski, M., Nowak, K., Borowiec, Z., Kasperski, M., Bek, W., Machnicka-Rusek, A., & Milnerowicz-Nabzdyk, E.
- Affiliations
- University of Opole (PL)
- Corresponding author
- Mrugała, Maja
- Venue
- Journal of Clinical Medicine
- Publisher
- MDPI AG
- Published
- 2024-09-13
- Volume
- 13
- Issue
- 18
- Pages
- 5425
- ISSN
- 2077-0383 (ISSN-L)
- PMC
- PMC11432377
- OpenAlex
- W4402525120
- Cited by
- 4
- References
- 28
- Citations by year
- 2026: 3 · 2025: 1
- FWCI
- 2.22
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Journal of Clinical Medicine (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Urology › Ureteral procedures and complications
- Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Keywords
- indocyanine green, extended hysterectomy, ureteral complications, deep infiltrating endometriosis, double-J stenting
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