The feasibility of transvaginal robotic surgery in the repair of pelvic organ prolapse

Yaghnam, Ibrahim; Thomas, Dominique; Rosenblatt, P.L.; Chughtai, Bilal

doi:10.1007/s00192-017-3269-8

Cited by 1 publication

(1 citation statement)

References 11 publications

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“…Using barbed suture to attach the mesh vaginally, as well as pulling the mesh to the sacrum via a retroperitoneal tunnel created using the wristed instruments are recommended by the authors to improve surgical proficiency (83,84). In addition, Yaghnam et al, were able to perform a robotic natural orifice surgery through the vagina for pelvic organ prolapse repair on two cadavers (85). While some of these techniques may be viable options, more research is needed, and they are not widely used.…”

Section: Developing Trendsmentioning

confidence: 99%

Robotic-assisted repair of pelvic organ prolapse: a scoping review of the literature

Schachar¹,

Matthews²

2020

Transl Androl Urol

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The purpose of this article is to perform a scoping review of the medical literature regarding the efficacy, safety, and cost of robotic-assisted procedures for repair of pelvic organ prolapse in females.Sacrocolpopexy is the "gold standard" repair for apical prolapse for those who desire to maintain their sexual function, and minimally-invasive approaches offer similar efficacy with fewer risks than open techniques.The introduction of robotic technology has significantly impacted the field, converting what would have been a large number of open abdominal sacrocolpopexy (ASC) procedures to a minimally-invasive approach in the United States. Newer techniques such as nerve-sparing dissection at the sacral promontory, use of the iliopectineal ligaments and natural orifice vaginal sacrocolpopexy may improve patient outcomes. Prolapse recurrence is consistently noted in at least 10% of patients regardless of route of mesh placement. Ancillary factors including pre-operative prolapse stage, retention of the cervix, type of mesh implant, and genital hiatus (GH) size all adversely affect surgical efficacy, while trainees do not. Minimally-invasive apical repair procedures are suited to early recovery after surgery protocols but may not be appropriate for all patients.Studies evaluating longer-term outcomes of robotic sacrocolpopexies are needed to understand the relative risk/benefit ratio of this technique. With several emerging robotic platforms with improved features and a focus on decreasing costs, the future of robotics seems bright.

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Section: Developing Trendsmentioning

confidence: 99%

Robotic-assisted repair of pelvic organ prolapse: a scoping review of the literature

Schachar¹,

Matthews²

2020

Transl Androl Urol

View full text Add to dashboard Cite

show abstract

The feasibility of transvaginal robotic surgery in the repair of pelvic organ prolapse

Abstract: Robotic transvaginal POP is a feasible option for POP surgery. Further studies are warranted to determine the role of robotic transvaginal POP repair.

Cited by 1 publication

References 11 publications

Robotic-assisted repair of pelvic organ prolapse: a scoping review of the literature

Robotic-assisted repair of pelvic organ prolapse: a scoping review of the literature

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