Integration of a Robotic Platform for Sacrocolpopexy in Transvaginal Natural Orifice Transluminal Endoscopic Surgery: A Novel Surgical Technique

Guan, Xiaoming; Guan, Zhenkun; Koythong, Tamisa; Liu, Juan; Delgado, Stephanie; Wang, Qianqing

doi:10.1016/j.urology.2021.03.015

Cited by 22 publications

(11 citation statements)

References 12 publications

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“…Xiaoming Guan and colleagues published a small comparative feasibility study of traditional laparoscopic and robotic-assisted vNOTES hysterectomies. 36 Robotic-assisted vNOTES publications currently consist of case reports and series describing hysterectomies, 37 , 38 sacrocolpopexies, 39 , 40 bowel deep infiltrating endometriosis, 17 and myomectomy, 41 mostly by two surgical teams (Dr. Xiaoming Guan in Baylor, Texas and Dr. Chyi-Long Lee in Taiwan). Single site Xi da Vinci robotic system (Intuitive Surgical, Sunnyvale, CA) via vaginal LESS port to treat endometriosis is considered experimental at this time, with only one single institution retrospective review of 33 published cases.…”

Section: Introductionmentioning

confidence: 99%

Vaginal Natural Orifice Transluminal Endoscopic Surgery Revolution: The Next Frontier in Gynecologic Minimally Invasive Surgery

Lerner

May

Iglesia

2023

JSLS

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Section: Introductionmentioning

confidence: 99%

Vaginal Natural Orifice Transluminal Endoscopic Surgery Revolution: The Next Frontier in Gynecologic Minimally Invasive Surgery

Lerner

May

Iglesia

2023

JSLS

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“…The advantages of intraabdominal suturing and knot-tying may make robotic transvaginal NOTES sacrocolpopexy a viable and feasible alternative to standard laparoscopic NOTES sacrocolpopexy. At the same time, even with robotic technology, NOTES with mesh may not eliminate the dangers of mesh problems seen with traditional vaginal repair and may have questionable cost and time efficacy [13].…”

Section: Resultsmentioning

confidence: 99%

Robotic sacrocolpopexy in pelvic organ prolapse: a review of current literature

Pushkar

Kasyan

Попов

2021

Current Opinion in Urology

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Purpose of reviewRecently, robotic sacrocolpopexy has become the gold standard for treating genital prolapse. Despite this, there is still much interest in this procedure, and many questions remain unanswered. This review focuses on the most critical articles on this issue that have been published in the last 2 years.Recent findingsA summary of 23 articles is provided. There were no differences in total postoperative complications, postoperative stress incontinence, mesh erosion, and the success of the two surgical techniques in long-term investigations. Obesity modestly increases robotic approach difficulty and does not raise the mesh erosion rate or prolapse recurrence rate. Ultra-light and preprepared meshes with alternative fixation techniques can be applied with these procedures. Another emerging trend is alternative robotic approaches and the use of single-port surgery.SummaryFor women with pelvic organ prolapse, especially the elderly and obese, robotic sacrocolpopexy is well tolerated and effective. Despite highly restricted and heterogeneous data, recent investigations have included single incision methods and new mesh/fixation materials. Randomized trials with large sample size and excellent quality are necessary before the practical implementation of new techniques.

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“…Robotic transvaginal NOTES hysterectomy has been demonstrated to be feasible and safe in the surgical management of benign gynecology disease compared to traditional NOTES hysterectomy; however, it can be technically challenging to perform, particularly in managing of additional deep infiltrated endometriosis removal surgery after hysterectomy. The researches demonstrated that robotic vNOTES surgeries are feasible in complex benign gynecologic procedures such as endometriosis and sacrocolpopexy [1][2][3]. The robotic wristed instruments with 3-D visualization resulting in delicate tissue dissection and easier suturing and knot tying, are beneficial to surgeons for overcoming the cumbersome surgical techniques in transvaginal NOTES complete endometriosis removal [4,5].…”

Section: Discussionmentioning

confidence: 99%

Robotic Transvaginal Natural Orifice Transluminal Endoscopic Surgery for Resection of Parametrial and Bowel Deeply Infiltrated Endometriosis

Guan

Welch;

2022

Journal of Minimally Invasive Gynecology

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Integration of a Robotic Platform for Sacrocolpopexy in Transvaginal Natural Orifice Transluminal Endoscopic Surgery: A Novel Surgical Technique

Cited by 22 publications

References 12 publications

Vaginal Natural Orifice Transluminal Endoscopic Surgery Revolution: The Next Frontier in Gynecologic Minimally Invasive Surgery

Vaginal Natural Orifice Transluminal Endoscopic Surgery Revolution: The Next Frontier in Gynecologic Minimally Invasive Surgery

Robotic sacrocolpopexy in pelvic organ prolapse: a review of current literature

Robotic Transvaginal Natural Orifice Transluminal Endoscopic Surgery for Resection of Parametrial and Bowel Deeply Infiltrated Endometriosis

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