Value of indocyanine green and laparoscopic near-infrared technology in the surgical management of endometriosis: What is the evidence?

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This paper critiques a study on near-infrared indocyanine green (NIR-ICG) for endometriosis, arguing its minimal diagnostic value is misleading and questioning the detection rate due to potential biases.

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Abstract

Sir, Siegenthaler et al1 published a report on the role of indocyanine green and near-infrared vision (NIR-ICG) in the management of endometriosis, investigating not only the diagnostic value of NIR-ICG but also the parameters that alter its detection rate. The knowledge on the factors that negatively influence the detection rate of NIR-ICG will certainly help future research. Although NIR-ICG was found to be useful for identifying the extent of lesions, allowing for the resection of nodules and the preservation of healthy tissue surrounding the diseased, the results were not satisfactory regarding the detection rate. The diagnostic value of NIR-ICG was therefore described as “minimal”, which is in contrast to the encouraging results previously published.2-5 In our opinion, this conclusion is misleading and of questionable validity because of several biases, some of which have been already discussed by the authors. Future studies are needed for further answers.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Laparoscopy Laparoscopy Female Female Humans Humans Indocyanine Green Indocyanine Green

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (5)

Cited by (3)

Source provenance

europepmc
last seen: 2026-10-18T09:30:06.152893+00:00
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License: CC0 · commercial use OK