Robotic Single Site Uterosacral Ligament Suspension after Hysterectomy

Abstract

Objective: To demonstrate an effective robotic technique to perform rectopexy. To discuss the role of mesh placement in this minimally invasive surgery. To establish the anatomical landmarks to perform a safe and effective pelvic dissection during a robotic rectopexy. Design: Educational video. Settings: An academic hospital. Patients: We present a case of a 61-year-old female who previously failed simple suture rectopexy, and presented for definitive surgical management. Interventions: Robotic anterior and posterior rectopexy. Measurements/Results: Our video demonstrates an effective robotic technique to perform a posterior and anterior rectopexy. Important topics like the proper use of mesh, the placement of the mesh, and the anatomical landmarks for a safe pelvic dissection during this minimally invasive procedure are also discussed. Conclusions: We have demonstrated an effective robotic technique for the treatment of fecal incontinence and full thickness rectal prolapse. The proper use of mesh during minimally invasive rectopexy prevents postoperative complications. We have shown that the robotic transabdominal rectopexy is a safe and reliable procedure.