Robotic Sacral Colpopexy

Journal of Endourology
Charles R PowellJon Hathaway

Abstract

Robot-assisted sacral colpopexy (RASC) is a fast growing approach for surgeons treating patients with advanced stage pelvic organ prolapse (POP). Open abdominal sacral colpopexy has been the gold standard for advanced POP but requires longer hospital stays and a much larger incision. The indications, preoperative preparation, operative positioning, and operative steps are detailed, and an accompanying video shows the approach. RASC can be broken down into 11 steps and the reader will be able to reference the article to the corresponding portion of the video. A total of 119 women underwent RASC between 2009 and 2016. Patients had similar preoperative characteristics. All POP-Q, UDI-6, and quality of life scores improved postoperatively. Apical failure was noted in 0, anterior failure was noted in 7 (average Ba +1.1 cm in failures), and posterior failure was noted in 4 (mean Bp +1.0 cm) patients at 15.6 months' follow-up. A total of 11 suture erosions were noted in five patients requiring excision in the clinic and 2 patients in the operating room. Four suture erosions were managed with observation. Two mesh exposure events were noted. Outcomes for robotic sacral colpopexy are like those of open abdominal sacral colpopexy.

References

Sep 23, 2003·Controlled Clinical Trials·Linda BrubakerUNKNOWN Pelvic Floor Disorders Network
Oct 2, 2004·Obstetrics and Gynecology·Ingrid E NygaardUNKNOWN Pelvic Floor Disorders Network
Apr 14, 2006·The New England Journal of Medicine·Linda BrubakerUNKNOWN Pelvic Floor Disorders Network
Feb 10, 2009·European Urology·Anjali M GanatraGuy Vallancien
Apr 2, 2009·Journal of Endourology·Brandan A KramerBradley F Schwartz
Jul 30, 2009·Annals of Surgery·Pierre A ClavienMasatoshi Makuuchi
May 19, 2010·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M S SajidM K Baig
Jun 10, 2010·International Urogynecology Journal·Tyler M MufflyMarie Fidela R Paraiso
Jul 29, 2010·Obstetrics and Gynecology·Sandy B NosseirHarvey A Winkler
Jan 17, 2013·Journal of Minimally Invasive Gynecology·Nicholas D BedfordMarc J N C Keirse
Oct 22, 2013·International Urogynecology Journal·Matthew D Barber, Christopher Maher
Feb 6, 2015·Journal of Endourology·Chandra K FlackCharles R Powell
Apr 22, 2015·Journal of Endourology·Sameer ChopraAndre K Berger

❮ Previous
Next ❯

Citations

Jun 8, 2019·Journal of Endourology
Oct 28, 2020·Journal of Endourology·Megan E BockCharles R Powell

❮ Previous
Next ❯

Methods Mentioned

BETA
hysterectomy
dissection
dissections

Software Mentioned

DaVinci

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.