Combined Robotic Assisted Laparoscopic Rectopexy With Sacrocolpopexy.

Autor: Poston, CM, Casas, Diaz O, Hurtado, E, DaSilva, G, Vogler, S
Zdroj: Journal of Minimally Invasive Gynecology; 2024 Supplement, Vol. 31 Issue 11, pS50-S51, 2p
Abstrakt: To demonstrate the safety and feasibility of combined robotic ventral rectopexy and sacrocolpopexy for the treatment of concomitant pelvic organ prolapse and rectal prolapse. We present a video case demonstration highlighting the use of combined robotic ventral rectopexy and sacrocolpopexy for treatment of concomitant rectal and pelvic organ prolapse. The patient was taken to the operating room and placed in dorsal lithotomy position with her hands tucked by her sides. She was prepped and draped in the sterile fashion. After direct laparoscopic entry she was placed in Trendelenburg position and the robotic console was docked. Our patient is a 79-year-old female with rectal prolapse and fecal incontinence and coexisting cystocele and uterine fibroids. Combined robotic assisted laparoscopic ventral rectopexy and sacrocolpopexy. The patient underwent a successful combined rectal prolapse and pelvic organ prolapse repair, utilizing a multidisciplinary approach between colorectal surgery and urogynecology. Combined robotic ventral rectopexy and sacrocolpopexy using a single lightweight mesh is a safe and feasible alternative for the treatment of coexisting rectal and pelvic organ prolapse in a single patient. This shift towards the combined surgical management of these two conditions involving the collaboration between urogynecology and colorectal surgery allows for not only more patient-centered management of these two coexisting conditions, but also can alleviate patient symptoms and improve functional outcomes. [ABSTRACT FROM AUTHOR]
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