Annals of Medicine Research and Public Health (ISSN: 2995-5955) | Volume 5, Issue 2 | Review Article | Open Access
Luciano Ramírez*
Luciano Ramírez1*, Daniel Toapanta2, Luis Cazaban3
1Assistant Clinic Surgical TO, Hospital of Clinics, University of the Republic, Uruguay
2Resident Surgery General, Clinic Surgical TO, Hospital of Clinics, University of the Republic, Uruguay
3Teacher Holder Clinic Surgical TO, Hospital of Clinics, University of The Republic, Uruguay
*Correspondence to: Luciano Ramírez
Fulltext PDFIntroduction: Totally extraperitoneal (TEP) laparoscopic repair is a widely used technique for treating inguinal hernias. However, identifying vascular structures during preperitoneal dissection can be challenging, especially in large, recurrent, or anatomically variable hernias. Fluorescence angiography with green of indocyanine (ICG) has emerged as a tool Intraoperative imaging allows visualization of vascularization in real time and could increase the safety of the procedure.
Aim: Describe the utility of the green of indocyanine during the Laparoscopic TEP repair and review the available scientific evidence.
Clinical case: A 63–year–old male patient with a reducible right inguinoscrotal hernia underwent laparoscopic repair. Following intravenous administration of ICG, the inferior epigastric vessels and regional vascularization were clearly identified using fluorescence visualization. facilitating the dissection of the space preperitoneal and avoiding vascular lesions. The procedure was completed without complications, with adequate mesh placement and a favorable postoperative course.
Conclusion: Indocyanine green fluorescence is a promising tool for improving anatomical identification during repair. laparoscopic of the hernia inguinal. His employment could increase surgical safety and reduced hemorrhagic complications, although prospective studies are needed to confirm these benefits.
Green of indocyanine; Fluorescence; Hernia inguinal; TEP; Laparoscopy
Luciano Ramírez, Daniel Toapanta, Luis Cazaban. Indocyanine Green Fluorescence in Laparoscopic Repair Completely Extraperitoneal (TEP) of Inguinal Hernia: A Case Report and Literature Review. Ann Med Res Pub Health. 2026;5(2):1-6.