Prospective Evaluation of Surgical Outcomes of Robot-Assisted Sacrocolpopexy and Sacrocervicopexy for the Management of Apical Pelvic Support Defects

Abstract

RSCP and RCSP are effective, efficient, and safe procedures.

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.…”

“…Controversially, the use of a lightweight mesh could be considered a protective factor. Comparing patients with specific information available, we observed three mesh erosions (1%) among 275 patients who had lightweight polypropylene mesh versus 26 mesh erosions (3.6%) among 715 women who had standard weight polypropylene mesh ( p = 0.03; odds ratio: 0.3; 95% CI, 0.08-0.97) [10,11,[17][18][19][20][21][22]25,[27][28][29][30][31][33][34][35]37]. However, due to the inherent biases of the present analysis, further research is needed.…”

“…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%]).…”

Are the Effectiveness of Minimally Invasive Sacrocolpopexy Similar with Abdominal Sacrocolpopexy for the Treatment of Vaginal Vault Prolapse?

“…16,27 Robotic sacrocolpopexy has been used at some instutions using the da VinciTM system. 18,19 The operation time and learning curve was higher in LSC than ASC. It is not certain if the advantages of robotic surgery will overcome this problem.…”

“…16,17 Notwithstanding, there are few studies comparing advanced laparoscopic and robotic assisted laparoscopic approaches with traditional open sacrocolpopexy approaches. 18,19 The latter, the literature is limited regarding the long term efficiacy of MISC. 20 The disadvantages of MISC were longer operation time and learning curve.…”