Long-term outcomes after totally robotic sacrocolpopexy for treatment of pelvic organ prolapse

Abstract

Our experience indicates that using the Da-Vinci robotic system is feasible, safe, and effective for the treatment of pelvic organ prolapse with good long-term results.

Robot-assisted Sacrocolpopexy for Pelvic Organ Prolapse: A Systematic Review and Meta-analysis of Comparative Studies

“…mesh erosion occurred in 31 of 1417 patients (2%) with specific information available [10,11,[16][17][18][19][20][21][22]25,[27][28][29][30][31][32][33][34][35][38][39][40]. Significant heterogeneity in mesh erosion was found among studies ( p < 0.01), thus suggesting difference in sample size, follow-up, and risk factors.…”

“…Estimated blood losses were of limited entities; no studies reported a mean or median blood loss >150 ml [10,11,. Most studies reported a hospital stay <2 d [16,31,34,35]; three studies reported a median/mean hospitalization time >3 d [18,30,38]. However, the lack of uniformity in reporting operative parameters and the highly variable kinds of concomitant procedures performed (eg, the addition of concomitant hysterectomy) do not allow us to make a fair comparison between groups and evaluate how different surgical volume and different study periods influenced operative results.…”

“…Grade 1, 2, and 3 complications were 2 (<1%), 45 (3%), and 1 (<1%), respectively [12]. In particular, Satava grade 2 and 3 complications were 14 vaginotomies (1%), 26 bladder injuries (2%), 1 ureteral injury (<1%), and 4 bowel injuries (<1%) [10,11,16,17,[19][20][21][22][23]28,[31][32][33][34][35][36][38][39][40]. Additionally in one case (<1%), a suture with its needle was lost and a 2-cm incision for needle retrieval was necessary [25].…”

“…Germain et al [38] University Hospital of Nancy-Brabois, France 52 [39] Institut Mutualiste Montsouris, Paris, France 90 RS [40] OLV Vattikuti Robotic Surgery Institute, Aalst, Belgium Data are expressed in number, percentages, median (range), or mean (standard deviation).…”

“…No grade 4 and 5 complications were recorded. Focusing on severe complications (Clavien-Dindo grade !3a [13]), 20 events (2%) were recorded among 1118 with specific information available [10,11,[16][17][18][19][20][21][22]25,27,28,[30][31][32][33][34][35][37][38][39][40]. Complications included bowel obstructions (n = 5 [25%]), port site hernia (n = 6 [30%]), port site nerve entrapment in a port site (n = 1 [5%]), abscess (n = 3 [15%]), peritonitis due to bowel injury (n = 2 [10%]), vaginal cuff dehiscence (n = 1 [5%]), and feeling of traction requiring secondary surgery (n = 2 [10%]).…”