Suture-Needle Management Device and Novel Port Configuration for Robotic Sacrocolpopexy.

Autor:	Das D; From the Division of Urogynecology and Reconstructive Pelvic Surgery, Northwestern University, Chicago, IL., Squires N; From the Division of Urogynecology and Reconstructive Pelvic Surgery, Northwestern University, Chicago, IL., Mueller M; Division of Urogynecology and Reconstructive Pelvic Surgery, University of Chicago, Chicago, IL., Collins S; Division of Urogynecology and Reconstructive Pelvic Surgery, University of Chicago, Chicago, IL., Lewicky-Gaupp C; Division of Urogynecology and Reconstructive Pelvic Surgery, University of Chicago, Chicago, IL., Bretschneider CE; From the Division of Urogynecology and Reconstructive Pelvic Surgery, Northwestern University, Chicago, IL., Geynisman-Tan J; From the Division of Urogynecology and Reconstructive Pelvic Surgery, Northwestern University, Chicago, IL., Kenton K; Division of Urogynecology and Reconstructive Pelvic Surgery, University of Chicago, Chicago, IL.
Jazyk:	angličtina
Zdroj:	Urogynecology (Philadelphia, Pa.) [Urogynecology (Phila)] 2024 Apr 24. Date of Electronic Publication: 2024 Apr 24.
DOI:	10.1097/SPV.0000000000001517
Abstrakt:	Importance: Robot-assisted sacrocolpopexy (SCP) is a commonly performed procedure for the repair of apical pelvic organ prolapse; therefore, novel devices and techniques to improve safety and efficacy of this procedure should be explored. Objective: The objective of this study was to assess safety and efficacy of 8-mm trocar site for use of a disposable suture/needle management device (StitchKit; Origami Surgical, Madison, NJ) for robot-assisted SCP with a 4-arm configuration and no assistant port. Study Design: This is a retrospective case series of patients undergoing robot-assisted SCP at a tertiary center from 2018 to 2021. All surgical procedures were performed using four 8-mm robotic trocars and StitchKit device. Our objective was to review all cases in which this technique was used to determine whether the approach resulted in a safely completed procedure and any complications or adverse events. Secondary objectives were to describe patient and operative characteristics. Results: In total, 422 patients underwent robot-assisted SCP for pelvic organ prolapse. The mean age was 60 ± 10 years, and mean body mass index was 27 ± 6 (calculated as weight in kilograms divided by height in meters squared). Most patients had stage 3 prolapse (73%) and underwent concomitant hysterectomy (70%). Ninety-nine percent (n = 416) of cases were completed robotically. StitchKit was successfully inserted and removed in all robotic cases with correct needle counts. All patients had postoperative visits, and 80% followed up at 3 months. No umbilical/port site hernias, operative site infections, or adverse events were reported. Conclusions: Robot-assisted SCP can be performed safely using a 4-arm robotic configuration and suture kit device. This setup eliminates incisions greater than 8 mm and an assistant port, allowing for surgical efficiency without compromising patient outcomes. Competing Interests: The authors have declared they have no conflicts of interest. (Copyright © 2024 American Urogynecologic Society. All rights reserved.)
Databáze:	MEDLINE
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