Prospective evaluation of surgical outcomes of robot-assisted sacrocolpopexy and sacrocervicopexy for the management of apical pelvic support defects

Southern Medical Journal
Catherine Ann MatthewsEdward J Gill

Abstract

To evaluate outcomes of robot-assisted sacrocolpopexy (RSCP) and sacrocervicopexy (RCSP). We conducted a prospective study of women undergoing RSCP or RCSP between June 2008 and January 2010. A total of 85 cases (48 RSCP and 37 supracervical hysterectomy with concomitant RCSP) were performed: 33% (28/85) for stage II, 54% (46/85) for stage III, and 13% (11/85) for stage IV pelvic organ prolapse (POP). Six weeks postoperatively, 96% (80/83) had stage 0, 2.4% (2/83) had stage I, and 1.2% (1/83) had stage II POP (P < 0.001). Six months postoperatively, 77% (24/31) had stage 0, 6.5% (2/31) had stage I, and 16% (5/31) had stage II POP (P < 0.001). Mean surgical time, estimated blood loss, and length of hospital stay was 194 ± 54 minutes, 49 ± 48 cm, and 1.6 ± 0.72 days, respectively. There were 2 cases of mesh erosion (2.3%), both in the RSCP group. RSCP and RCSP are effective, efficient, and safe procedures.

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Citations

Aug 7, 2014·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Teresa L DanforthDavid A Ginsberg
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Sep 3, 2014·Female Pelvic Medicine & Reconstructive Surgery·Catherine O HudsonDeborah R Karp
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Apr 26, 2014·Female Pelvic Medicine & Reconstructive Surgery·Mallika AnandJohn B Gebhart
Oct 14, 2020·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Gokhan Sami KilicBekir Serdar Unlu

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