Robatic Tumor Debulking with Partial Cystectomy, Bladder Reconstruction, and Ureteral Implantation in Recurrent Endometrial Cancer

Abstract

fixation was identified. The BDA suture was 2-0 V-Loc™ 180. The primary outcome were mesh exposure, postoperative complications, and recurrence of prolapse. Sacrocolpopexy failure was defined as patients undergoing either repeat prolapse surgery or pessary use for recurrent prolapse. The mean (SD) ages at surgery were 53.2 (10.9) years and the mean (SD) lengths of postoperative follow-up were 40.5 (19.5) months. The mean (SD) body mass indexes were 29.1 (5.2) kg/m2. During followup, 3 (8%) patients underwent prolapse retreatment. There were 1 apical recurrence, 1 anterior recurrence, and 1 posterior recurrence. Apical recurrence was found in routine postoperative clinic visit at 3rd months after surgery. Among those with recurrence, the mean time (SD) to recurrence was 18.3 (4.9) months. The only significant difference in the comparison of the two groups with and without postoperative complications was in the group without urinary incontinence surgery (p = .05). Mesh exposure has not been observed in any of cases. Conclusion:With a mean follow-up of 40 months, the use of barbed delayed absorbable suture for vaginal attachments during RSC is safe and effective after the previously published our 1-year results.