Short-Term Outcomes of Robotic Sacrocolpopexy Compared With Abdominal Sacrocolpopexy

Geller, Elizabeth J.; Siddiqui, Nazema Y.; Wu, Jennifer M.; Visco, Anthony G.

doi:10.1097/aog.0b013e31818ce394

Cited by 255 publications

(138 citation statements)

References 16 publications

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“…Conventional laparoscopic and robot-assisted routes result in a shorter hospital stay, faster time to recovery, and lesser postoperative pain than laparotomy, with comparable short-term efficacy (5)(6)(7)(8). The United Kingdom multicenter randomized equivalence trial found that after one year follow-up, there were no differences in anatomic or subjective pelvic floor outcomes compared to open and laparoscopic techniques; however, the blood loss, postoperative hemoglobin values, and hospital stay were better in the laparoscopic arm (9).…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Sacral Uteropexy with Cravat Technique--Experience and Results

et al. 2014

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ARTICLE INFO ______________________________________________________________ ______________________Objective: The aim of the present study was to evaluate the safety and efficacy of a "Cravat'' technique for the management of uterine prolapse in patients who want to preserve uterus, involving suspension of the uterus from the sacral promontory by using polypropylene mesh. Materials and Methods:A prospective observational study between January 2011 and September 2013 was conducted. Prior to surgery, prolapse assessment was undertaken with Baden-Walker halfway system to grade the degree of prolapse at all sites. Patients with severe uterine prolapse (stage II-IV) who want to preserve uterus, were operated with Cravat technique. All patients were evaluated at 2 weeks and 6 weeks after surgery and followed for 6 months. Outcomes were evaluated objectively by vaginal examination using Baden-Walker halfway classification, and subjectively classifying patients as 'very satisfied', 'satisfied' and 'not satisfied' at the 6th month postoperatively. Results: Sacral uteropexy was successfully performed by laparoscopy in 32/33 patients (one needed to be converted to laparotomy). Nine patients also had a concurrent procedure as colporaphy anterior, colporaphy posterior or transobturator tape. Postoperative recovery has been uneventful with subjective and objective cure rates were 96.9% and 93.9%, respectively at six month. One recurrence of total prolapse needed to be reoperated and two patients with sacrouteropexy still remained at stage 2 prolapse. There have been no cases of graft exposure, rejection or infection with a median follow-up of 23.9 months. Conclusions: Laparoscopic sacral uteropexy with "Cravat technique" was found to be safe and simple procedure.

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Section: Introductionmentioning

confidence: 99%

Laparoscopic Sacral Uteropexy with Cravat Technique--Experience and Results

et al. 2014

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“…A further study by White comparing three approaches, robotic, laparoscopic and single port revealed no difference in pain, length of stay, blood loss or operating time between the three [67], with good short-term functional outcomes. Further studies confirm the good functional results using the robot showing it to be efficacious in the management of VV P [68,69] with a low complication rate and high patient satisfaction [70]. The robotic approach may assist the surgeon in dissecting over the sacral promontory [71].…”

Section: Urogynecology: Sacrocolpopexy and Hysteropexymentioning

confidence: 64%

Gynecological Surgery and the Robot

O’Sullivan¹,

O’Reilly²

2014

ENG

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As the only robotic device with FDA approval for gynecological surgery, the da Vinci ® Surgical System dominates robot-assisted surgery in the field. Benefits to the Surgeon include decreased risk of neck and back injury secondary to improved ergonomics. However, patients benefit greatly due to decreased length of stay, decreased blood loss and analgesic requirements. Unfortunately the initial economic impact of purchasing and maintaining a robot is great but must be balanced with the potential savings from reduced length of stay and earlier return to normal activity. This article looks at the indications for robot-assisted surgery in gynecology. Assessing the efficacy of this modality compared to both straight stick (Laparoscopy) and open procedures. We discuss the impact and implications for surgical training imposed by robotic surgery. Furthermore, we assess the safety of robotic surgery from both the surgeons prospective and as a surgical modality.

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“…The effectiveness of the da-Vinci robot system that assists surgeons in complex procedures is now supported by level II evidence (Geller, Siddiqui, J.M.Wu, & Visco, 2008). Robotic telepresence has proven itself through deployments in dangerous or unreachable environments, with applications ranging from nuclear material handling demonstrated at the Fukushima nuclear plant disaster in 2011 to planetary exploration with the Mars Rover.…”

Section: Introductionmentioning

confidence: 88%

A Robot Centric Perspective on the HRI Paradigm

Kirchner

Alempijevic

2013

Journal of Human-Robot Interaction

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The industrial revolution undoubtedly defined the role of machines in our society, and it directly shaped the paradigm for human machine interaction -a paradigm which was inherited by the field of Human Robot Interaction (HRI) as the machines became robots. This paper argues that, for a foreseeable set of interactions, reshaping this paradigm would result in more effective and more often successful interactions. This paper presents our Robot Centric paradigm for HRI. Evidence in the form of summaries of relevant literature and our past efforts in developing social-robotics enabling technology is presented to support our paradigm. A definition and a set of recommendations for designing the key enabling component, sociocontextual cues, of our paradigm are presented. Finally, empirical evidence generated through a number of experiments and field studies (N = 456 and N = 320) demonstrates our paradigm is both feasibly incorporated into HRI and moreover, yields significant contributions to the successfulness of a set of HRIs.

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Short-Term Outcomes of Robotic Sacrocolpopexy Compared With Abdominal Sacrocolpopexy

Abstract: II.

Cited by 255 publications

References 16 publications

Laparoscopic Sacral Uteropexy with Cravat Technique--Experience and Results

Laparoscopic Sacral Uteropexy with Cravat Technique--Experience and Results

Gynecological Surgery and the Robot

A Robot Centric Perspective on the HRI Paradigm

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