Asian Society for Gynecologic Robotic Surgery

Contents

The article introduces the Pharus method, a novel technique using close-contact transillumination with a rigid endoscope to identify the vaginal point Aa during robot-assisted sacrocolpopexy (RSC). This method highlights the target area as a green spot on Firefly imaging, offering superior visibility compared to the conventional indocyanine green (ICG) tattooing method. In a clinical study involving four patients with advanced cystocele, the Pharus method effectively guided surgeons without the need for invasive procedures or drug injections, reducing complications like bladder injury. The method is practical, safe, and applicable to other surgical procedures, providing a reliable alternative to existing techniques. 

Citation

Yoshida Ueno A, Sato T, Kobayashi M, Wakatsuki S, Namba T, Hayashi K. Close Contact Transillumination Light Guides Surgeon to Vaginal Point Aa: Pharus Method for Robot-Assisted Sacrocolpopexy. Asian J Endosc Surg. 2025 Jan-Dec;18(1):e13412. 

Link

https://onlinelibrary.wiley.com/doi/10.1111/ases.13412