IRIS. Infrared Illumination System- IRIS is a visualization technology designed to reduce the risk of ureteral damage, which has a documented incidence rate of 0.3-1.8% in lower pelvic procedures.

1. Step by Step Use of IRIS (Infrared Illumination
System) – AIM (Advanced Imaging Modalities)
platform in TLH
Dr. Piyush Patwa, DNB, FMAS, FIAGES
Chief - Dr. K. Sendhil kumar, MS. DNB
Gateway Clinics, Coimbatore, India

3. IRIS: INFRARED ILLUMINATING SYSTEM
• Infrared Ureteral Stents are designed to
transilluminate the ureters – for visualization
of the ureters.
• Additionally, the IRIS U-kits may help surgeons
save time in having to do extensive dissections
to locate the ureters.

4. • IRIS (Infrared Illumination System) - is a
visualization technology designed to reduce
the risk of ureteral damage, which has a
documented incidence rate of 0.3-1.8% in
lower pelvic procedures.1, 2
• 1 Parpala-Sparman T, Paananen I, Santala M, Ohtonen P, Hellstrom P.Increasing numbers of ureteric injuries
after the introduction of laparoscopic surgery. Scand J Urol Nephrol. 2008;42(5):422–427 [PubMed].
• 2 Anand et al. "Utility of intraoperative cystoscopy in detecting ureteral injury during vaginal
hysterectomy". Female Pelvic Med Reconstr Surg. 2015 Mar-Apr;21(2):70-6.

5. Team Work

6. Cystoscopy guided – IRIS placement

7. When IRIS mode is activated

8. Use of IRIS in case of TLH

9. TLH – Ports Placement

10. View of right Ureter

11. Anatomy B/L Ureters

12. Dissection at Level of Cervix

13. You know where to stop – Left Ureter in view

14. Illuminating Water under the Bridge

15. Completion of Hysterectomy –
Vagina/Bladder/Both Ureters

16. Vaginal Vault Closure

17. Mobile camera picks it – which Eyes can not

18. Thank You