Long-term Outcomes of Robotic-assisted Laparoscopic Sacrocolpopexy with a Minimum of Three Years Follow-up

Overview

Journal J Robot Surg

Publisher Springer

Specialties Biotechnology
General Surgery

Date 2016 Sep 18

PMID 27637704

Citations 6

Authors

Mark S Shimko

Eric C Umbreit

George K Chow

Daniel S Elliott

Affiliations

Soon will be listed here.

Abstract

We describe efficacy and safety of robotic-assisted laparoscopic vaginal vault prolapse repair with long-term follow-up. We reviewed the records of 40 consecutive patients with posthysterectomy vaginal vault prolapse who underwent a robotic-assisted laparoscopic sacrocolpopexy at our institution between September 2002 and September 2006. Patient analysis focused on complications, patient satisfaction, and morbidity, with a minimum of 36 months' follow-up. Median follow-up was 62 months (range 36-84) and mean age was 67 (43-83) years. Mean operating time was 3.1 (2.15-5) h with a median operating time of 2.9 h. All but four were discharged home on postoperative day one; three patients left on postoperative day two and one left on postoperative day seven. Three developed recurrent grade 3-4 rectoceles and two vaginal extrusion of mesh. Thirty-eight of the 40 patients (95%) were satisfied with their outcome. Robotic-assisted laparoscopic sacrocolpopexy is a minimally invasive technique for vaginal vault prolapse repair, combining the advantages of open sacrocolpopexy with the decreased morbidity of laparoscopy. We found a short hospital stay, low complication rates, and high patient satisfaction with a minimum of 3 years' follow-up.

Citing Articles

Single-center study for robotic-assisted laparoscopic sacropexies: a one-fits-all strategy for pelvic organ prolapse?.

Mach P, Kaufold C, Rusch P, Kimmig R, Buderath P Arch Gynecol Obstet. 2022; 306(6):2009-2015.

PMID: 35974180 PMC: 9633482. DOI: 10.1007/s00404-022-06735-6.

Robotic and laparoscopic sacrocolpopexy for pelvic organ prolapse: a systematic review and meta-analysis.

Yang J, He Y, Zhang X, Wang Z, Zuo X, Gao L Ann Transl Med. 2021; 9(6):449.

PMID: 33850846 PMC: 8039662. DOI: 10.21037/atm-20-4347.

Robotic Sacrocolpopexy for Treatment of Apical Compartment Prolapse.

Ko K, Lee K Int Neurourol J. 2020; 24(2):97-110.

PMID: 32615671 PMC: 7332820. DOI: 10.5213/inj.2040056.028.

Long-term mesh erosion rate following abdominal robotic reconstructive pelvic floor surgery: a prospective study and overview of the literature.

van Zanten F, van Iersel J, Paulides T, Verheijen P, Broeders I, Consten E Int Urogynecol J. 2019; 31(7):1423-1433.

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Long-term outcomes of robotic mesh sacrocolpopexy.

Jong K, Klein T, Zimmern P J Robot Surg. 2017; 12(3):455-460.

PMID: 28980173 DOI: 10.1007/s11701-017-0757-2.

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