Use of video microsurgery platform in microsurgical subinguinal varicocelectomy with indocyanine green angiography

Abstract

AimThe 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 MethodsTwo 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.ResultsThe 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.ConclusionsThe procedure of MSV with intraoperative ICGA can be performed efficiently with the utilization of the video microsurgery platform.