The Impact of a Dedicated Robotic Team on Robotic-Assisted Sacrocolpopexy Outcomes

Abstract

(Abstracted from Female Pelvic Med Reconstr Surg 2018;24:13–16) The use of robotic surgery in female reconstructive surgery has enabled more surgeons to perform sacrocolpopexies using a minimally invasive procedure. Compared with abdominal sacrocolpopexy, this approach is associated with decreased blood loss, postoperative pain, length of admission, and postoperative morbidity, but with similar long-term outcomes. The robotic-assisted surgical system is the most expensive modality for sacrocolpopexy and has been criticized for its high cost.

Surgical Team Familiarity: An Integrative Review

“…We identified and removed duplicate articles during the screening process and reviewed the full text of the remaining articles for eligibility. The final sample comprised 16 studies, [21][22][23][28][29][30][31][32][33][34][35][36][37][38][39][40] of which 10 (63%) originated in the United States, 21,22,[28][29][30]35,36,[38][39][40] five (31%) originated in Australia, 23,31,32,34,37 and one (6%) originated in France. 33 The articles originating in Australia involved a common author.…”

“…33 The articles originating in Australia involved a common author. 23,31,32,34,37 The settings included academic medical centers, 21,23,[28][29][30][31][32][33][34][35][36][37][38] nonprofit hospitals, 39 community hospitals, 28 an academic children's medical center, 40 and a military treatment facility. 22 Researchers conducted four studies at multisite settings 28,32,34,39 and 12 studies at single sites.…”

“…23,31,32,34,37 The settings included academic medical centers, 21,23,[28][29][30][31][32][33][34][35][36][37][38] nonprofit hospitals, 39 community hospitals, 28 an academic children's medical center, 40 and a military treatment facility. 22 Researchers conducted four studies at multisite settings 28,32,34,39 and 12 studies at single sites. 21,22,23,[29][30][31]33,[35][36][37]40 Investigators based their conclusions on an analysis of partial surgical teams 21,28,30,33,34,38 or all interprofessional surgical team members.…”

“…22 Researchers conducted four studies at multisite settings 28,32,34,39 and 12 studies at single sites. 21,22,23,[29][30][31]33,[35][36][37]40 Investigators based their conclusions on an analysis of partial surgical teams 21,28,30,33,34,38 or all interprofessional surgical team members. 22,23,29,31,32,[35][36][37]39,40 Seven investigative teams published in surgical journals, 21,[28][29][30]33,39,40 five teams published in general health-related journals, 22,31,32,35,36 three teams published in nursing journals, 23,34,37 and one team published in an ergonomics journal.…”

“…Study Sidebar 1. Boolean Key Word Literature Search Terms design types included retrospective, 21,28,30,35,37,39,40 prospective observational, 23,[31][32][33][34]36,38 prospective cross-sectional, 22 and mixed-methods (ie, prospective observational with human factors theory). 29 Based on our review, no researchers conducted randomized clinical trials to compare the effect of conventional scheduling practices with scheduling interventions that incorporate familiarity on outcomes such as medical errors, clinical safety, length of stay, and cost.…”