{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T08:52:55Z","timestamp":1761900775178,"version":"build-2065373602"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T00:00:00Z","timestamp":1745452800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T00:00:00Z","timestamp":1745452800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"University of Bern"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urogynecol J"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>A 57-year-old patient was referred to our tertiary referral urogynecology unit due to persistent and profuse vaginal discharge 1 year after undergoing laparoscopic sacrocolpopexy with subtotal hysterectomy for apical prolapse. During clinical examination, abundant yellowish discharge from the cervix was observed. Creatinine testing and Uro-CT excluded vesicovaginal or ureterovaginal fistulas and large abscesses. However, owing to suspected infection and the patient\u2019s poor quality of life, a decision was made to proceed with laparoscopic revision.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results and Methods<\/jats:title>\n                    <jats:p>Intraoperatively, transcervical injection of ICG (indocyanine green) successfully illuminated a hidden retroperitoneal sinus and a low-volume abscess extending to the sacral promontory. Therefore, the previously installed mesh and the cervix were removed in a challenging but complication-free procedure. The patient was followed up after 3\u00a0months, remaining asymptomatic and satisfied with the outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Managing complications following laparoscopic sacrocolpopexy requires thorough clinical and instrumental evaluation. In this case, the strategic use of ICG injection proved to be an innovative approach to visualizing hidden complications, offering valuable insights for handling complex scenarios.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00192-025-06148-4","type":"journal-article","created":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T09:41:16Z","timestamp":1745487676000},"page":"1881-1883","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Unveiling the Invisible: Complication of Laparoscopic Sacrocolpopexy Illuminated by Transcervical Injection of ICG"],"prefix":"10.1007","volume":"36","author":[{"given":"Giovanni","family":"Ruggeri","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna-Sophie","family":"Villiger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael David","family":"Mueller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annette","family":"Kuhn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,4,24]]},"reference":[{"key":"6148_CR1","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1016\/j.ejogrb.2019.12.029","volume":"245","author":"O Gluck","year":"2020","unstructured":"Gluck O, Blaganje M, Veit-Rubin N, et al. Laparoscopic sacro- colpopexy: a comprehensive literature review on current practice. Eur J Obstet Gynecol Reprod Biol. 2020;245:94\u2013101.","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"9","key":"6148_CR2","doi-asserted-by":"publisher","first-page":"1475","DOI":"10.1007\/s00192-019-03952-7","volume":"30","author":"G Baines","year":"2019","unstructured":"Baines G, Price N, Jefferis H, et al. Mesh-related complications of laparoscopic sacrocolpopexy. Int Urogynecol J. 2019;30(9):1475\u201381. https:\/\/doi.org\/10.1007\/s00192-019-03952-7.","journal-title":"Int Urogynecol J"},{"issue":"2","key":"6148_CR3","doi-asserted-by":"publisher","first-page":"188","DOI":"10.1016\/j.jmig.2007.11.006","volume":"15","author":"A Stepanian","year":"2008","unstructured":"Stepanian A, Miklos J, et al. Risk of mesh extrusion and other mesh-related complication after laparoscopic sacral colpopexy with or without concurrent laparoscopic-assisted vaginal hysterectomy. J Minim Invasive Gynecol. 2008;15(2):188\u201396.","journal-title":"J Minim Invasive Gynecol"},{"issue":"2","key":"6148_CR4","doi-asserted-by":"publisher","first-page":"147","DOI":"10.1016\/j.ejogrb.2007.02.024","volume":"134","author":"ME Falagas","year":"2007","unstructured":"Falagas ME, Velakoulis S, et al. Mesh-related infection after pelvic organ prolapse repair surgery. Eur J Obstet Gynecol Reprod Biol. 2007;134(2):147\u201356.","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"6148_CR5","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1016\/j.ejogrb.2022.06.023","volume":"276","author":"G Panico","year":"2022","unstructured":"Panico G, Campagna G, Vacca L, et al. Redo Laparoscopic sacrocolpopexy for POP recurrence: is it the right call? Eur J Obstet Gynecol Reprod Biol. 2022;276:63\u20138.","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"163","key":"6148_CR6","first-page":"e1","volume":"210","author":"S Abbott","year":"2014","unstructured":"Abbott S, Unger CA, Evans JM, Jallad K, Mishra K, Karram MM, et al. Evaluation and management of complications from synthetic mesh after pelvic reconstructive surgery: a multicenter study. Am J Obstet Gynecol. 2014;210(163):e1-8.","journal-title":"Am J Obstet Gynecol"},{"key":"6148_CR7","doi-asserted-by":"publisher","first-page":"1387","DOI":"10.1007\/s00192-012-1741-z","volume":"23","author":"X Deffieux","year":"2012","unstructured":"Deffieux X, Thubert T, de Tayrac R, Fernandez H, Letouzey V. Long-term follow-up of persistent vaginal polypropylene mesh exposure for transvaginally placed mesh procedures. Int Urogynecol J. 2012;23:1387\u201390.","journal-title":"Int Urogynecol J"},{"doi-asserted-by":"publisher","unstructured":"Committee Opinion No. 694 Summary: Management of Mesh and Graft Complications in Gynecologic Surgery. Obstetrics Gynecol. 2017;129(4):773\u2013774. https:\/\/doi.org\/10.1097\/AOG.0000000000002012.","key":"6148_CR8","DOI":"10.1097\/AOG.0000000000002012"},{"issue":"2","key":"6148_CR9","doi-asserted-by":"publisher","first-page":"347","DOI":"10.1111\/aogs.13997","volume":"100","author":"V Tagliaferri","year":"2021","unstructured":"Tagliaferri V, Ruggieri S, Taccaliti C, Gentile C, Didonna T, D\u2019asta M, Legge F, Guida P, Scambia G, Guido M. Comparison of absorbable and permanent sutures for laparoscopic sacrocervicopexy: a randomized controlled trial. Acta Obstet Gynecol Scand. 2021;100(2):347\u201352. https:\/\/doi.org\/10.1111\/aogs.13997.","journal-title":"Acta Obstet Gynecol Scand"}],"container-title":["International Urogynecology Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-025-06148-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00192-025-06148-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-025-06148-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T08:23:07Z","timestamp":1761898987000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00192-025-06148-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,24]]},"references-count":9,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["6148"],"URL":"https:\/\/doi.org\/10.1007\/s00192-025-06148-4","relation":{},"ISSN":["0937-3462","1433-3023"],"issn-type":[{"type":"print","value":"0937-3462"},{"type":"electronic","value":"1433-3023"}],"subject":[],"published":{"date-parts":[[2025,4,24]]},"assertion":[{"value":"12 October 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 March 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 April 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This Video-Article IRB was exempted by the University of Bern on July 16, 2024. Request number: Req- 2024\u201300956.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"IRB Approval"}},{"value":"This study was conducted in accordance with the local legislation and institutional requirements. The surgical procedure presented in the video was performed following all applicable ethical guidelines and with the necessary institutional approvals.Patient confidentiality was strictly maintained, and no identifiable personal information is disclosed in the video. Informed consent for the recording and use of the surgical video for research and educational purposes was obtained from the patient prior to the procedure.The use of video material for publication, was reviewed and approved by the Ethics Committee of the University of Bern, ensuring compliance with ethical and legal standards.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics Statement"}},{"value":"The authors declare that they have no conflicts of interest and nothing to disclose.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of Interest"}},{"value":"Written informed consent was obtained from the patient for publication of this video article and any accompanying images.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent"}}]}}