Robotic-Assisted Bladder Neck Procedures for Incontinence in Pediatric Patients
| Autor: | Lindsay A White, Patricio C. Gargollo |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
bladder neck closure
medicine.medical_specialty Sling (implant) Robotic assisted Urinary incontinence Review Pediatrics Artificial urinary sphincter robotic surgery medicine Robotic surgery urinary incontinence business.industry lcsh:RJ1-570 Cosmesis lcsh:Pediatrics artificial urinary sphincter Surgery appendicovesicostomy bladder neck sling Neck of urinary bladder bladder neck reconstruction Pediatrics Perinatology and Child Health medicine.symptom business Abdominal surgery |
| Zdroj: | Frontiers in Pediatrics, Vol 7 (2019) Frontiers in Pediatrics |
| ISSN: | 2296-2360 |
| DOI: | 10.3389/fped.2019.00172/full |
| Popis: | Purpose: To review the current status of bladder neck procedures for incontinence in pediatric patients, focusing on the increasing role of robotic-assisted laparoscopic surgical techniques. Methods: A comprehensive review of the literature on open and robotic-assisted bladder neck procedures was conducted, with a focus on articles published in the last 20 years. This data was subsequently compared with published results from robotic-assisted bladder neck reconstruction series completed at our institution. Results: The principal bladder neck procedures for incontinence in pediatric patients include: Artificial Urinary Sphincter, Bladder Neck Sling, Bladder Neck Closure and Bladder Neck Reconstruction. Continence rates range from 60 to 100% with a lack of expert consensus on the preferred procedure (or combination of procedures). Robotic-assisted approaches are associated with longer operative times, especially early in the surgical experience, but demonstrate equivalent continence rates with potential benefits including: low intraoperative blood loss, improved cosmesis, and decreased intra-abdominal adhesion formation. Conclusions: Robotic-assisted procedures of the bladder neck are safe, feasible, follow the same steps and principles as those of open surgery and produce equivalent continence rates. Robotic-assisted techniques can be adapted to a variety of bladder neck procedures and safely expanded to selected patients with previous open abdominal surgery. |
| Databáze: | OpenAIRE |
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