Surgical Technique for Robot-assisted Sacrocolpopexy Performed via a Single Port.

Abstract:

OBJECTIVE:Sacrocolpopexy is considered the gold standard for the treatment of pelvic organ prolapse (POP). This procedure was the first technique used to treat POP with robotic assistance and has gone a long way since the open procedure was introduced. Originally, 5 trocars were inserted and there remained issues in terms of scarring, morcellation, and possibly an increased risk of infection. The objective of this video was to demonstrate a surgical technique and a few tips and tricks for a robot-assisted sacrocolpopexy performed via a single port in the umbilicus. METHODS:Since July 2015, women with symptomatic uterine prolapse were selected to be operated on by a single surgeon via a single robotic port. The video presents some tips and tricks to aid the surgeon to perform this surgery in a safe and timely manner, using da Vinci S or Si system. CONCLUSION:Robotically assisted laparoscopic repair of POP by sacrocolpopexy via a single port is a feasible technique with promising cosmetic results. This technique avoids morcellation and should also decrease the risk of infection because of the lower number of incisions.

journal_name

Urology

journal_title

Urology

authors

Lowenstein L,Matanes E,Burke YZ

doi

10.1016/j.urology.2016.11.023

subject

Has Abstract

pub_date

2017-05-01 00:00:00

pages

272

eissn

0090-4295

issn

1527-9995

pii

S0090-4295(16)30859-7

journal_volume

103

pub_type

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