Long-term outcomes after robotic sacrocolpopexy in pelvic organ prolapse: prospective analysis
| Autor: | Jesús Moreno Sierra, Javier Corral Rosillo, Sara Prieto Nogal, Angel Silmi Moyano, Ignacio T. Castillón Vela, J. Alvarez Fernandez-Represa, Elena Ortiz Oshiro, Isabel Galante Romo, Cristina Fernández Pérez |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Time Factors Ileus Urology Pelvic Organ Prolapse Prospective analysis Postoperative Complications Recurrence medicine Humans Robotic surgery Myocardial infarction Prospective Studies Laparoscopy Fixation (histology) Aged Aged 80 and over Pelvic organ medicine.diagnostic_test business.industry Robotics Middle Aged medicine.disease Surgery Treatment Outcome Surgery Computer-Assisted Female business Vaginal Vault Prolapse Follow-Up Studies |
| Zdroj: | Urologia internationalis. 86(4) |
| ISSN: | 1423-0399 |
| Popis: | Objective: To evaluate the feasibility and long-term outcomes of our initial series of robot-assisted laparoscopic sacrocolpopexy. Methods: We conducted a prospective analysis of our series of robotic sacrocolpopexy. Inclusion criteria: patients with grades III and IV cystocele and or other symptomatic pelvic organ prolapse. We performed a transperitoneal four-trocar technique with the Da Vinci robotic system using two polypropylene meshes for fixation to the sacral promontory. The primary outcome was recurrence; secondary outcomes included operating room time, blood loss, conversion to open surgery, complications and length of stay. Results: 31 consecutive procedures were included. Mean patient age was 65.2 (50–81) years. Mean operating room time was 186 (150–230) min. We converted 1 case to laparoscopy (3.2%). There were two major complications (1 acute myocardial infarction and 1 reoperation for excess tension with syncopes), two minor complications (1 wound infection and 1 ileus) and no recurrences at a mean follow-up of 24.5 (16–33) months. Conclusions: Robotic sacrocolpopexy could possibly improve with experience after overcoming the learning curve. There is no doubt it is a reproducible technique, but its safety and efficacy still need to be proven. Our initial series demonstrated good outcomes and no recurrences at 24.5 months of follow-up. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|