Top

Surgical Endoscopy

Published in:

01-09-2005 | Original article

Robotic-assisted pelvic organ prolapse surgery

Authors: A. Ayav, L. Bresler, J. Hubert, L. Brunaud, P. Boissel

Published in: Surgical Endoscopy | Issue 9/2005

Abstract

Background

This study describes technical aspect and short-term results of pelvic organ prolapse surgery using the da Vinci robotic system.

Methods

During a 1-year period, 18 consecutive patients with pelvic organ prolapse were operated on using the da-Vinci system. Clinical data were prospectively collected and analyzed.

Results

All but one procedure was successfully completed robotically (95%). Performed procedures were colpohysteropexy (n = 12), mesh rectopexy (n = 2), or sutured rectopexy combined with sigmoid resection (n = 4). Average setup time was 21 min and significantly decreased with experience. Mean operative time was 172 min (range, 45–280). There were no mortality and no specific morbidity due to the robotic approach. Mean hospital stay was 7 days. At 6 months, all patients were free of pelvic organ prolapse and stated that they were satisfied with anatomical and functional results.

Conclusion

Our experience indicates that using the da-Vinci robotic system is feasible, safe, and effective for the treatment of pelvic organ prolapse.

Ayav, A, Bresler, L, Brunaud, L, Boissel, P 2004Early results of one year robotic surgery using the Da Vinci system to perform advanced laproscopic proceduresJ Gastrointest Surg8720726CrossRefPubMed

Baker, R, Senagore, AJ, Luchtefeld, MA 1995Laparoscopic-assisted versus open resection: rectopexy offers excellent resultsDis Colon Rectum38199201CrossRefPubMed

Brunaud, L, Bresler, L, Ayav, A, Tretou, S, Cormier, L, Klein, M, Boissel, P 2003Advantages of using robotic Da Vinci system for unilateral adrenalectomy: early resultsAnn Chir128530535CrossRefPubMed

Cadière, GB, Himpens, J, Germay, O, Izizaw, R, Degueldre, M, Vandromme, J, Capelluto, E, Bruyns, J 2001Feasibility of robotic laparoscopic surgery: 146 casesWorld J Surg2514671477PubMed

Cuschieri, A, Shimi, SM, Vander Velpen, G, Banting, S, Wood, RA 1994Laparoscopic prosthesis fixation rectopexy for complete rectal prolapseBr J Surg81138139PubMed

Darzi, A, Henry, MM, Guillou, PJ, Shorvon, P, Monson, JR 1995Stapled laparoscopic rectopexy for rectal prolapseSurg Endosc9301303PubMed

Deen, KI, Grant, E, Billingham, C, Keighley, MRB 1994Abdominal resection rectopexy with pelvic floor repair versus perineal rectosigmoidectomy and pelvic floor repair for full thickness rectal prolapseBr J Surg81302304PubMed

Dubuisson, JB, Jacob, S, Chapron, C, Fauconnier, A, Decuypere, F, Dubernard, G 2002Laparoscopic iliac colpo-uterine suspension for treatment of genital prolpase using two meshes: 47 first casesGynécol Obstét Fertil30114120CrossRefPubMed

Hashizume, M, Shimada, M, Tomikawa, M, Ikeda, Y, Takahashi, I, Abe, R, Koga, F, Gotoh, N, Konishi, K, Maehara, S, Sugimachi, K 2002Early experiences of endoscopic procedures in general surgery assisted by a computer-enhanced surgical systemSurg Endosc1611871191CrossRefPubMed

10.

Himpens, J, Cadière, GB, Bruyns, J, Vertruyen, M 1999Laparoscopic rectopexy according to WellsSurg Endosc13139141CrossRefPubMed

11.

Horgan, S, Vanuno, D 2001Robots in laparoscopic surgeryJ Laparoendosc Adv Surg Tech11415419CrossRef

12.

Kairaluoma, MV, Viljakka, MT, Kellokumpu, IH 2003Open vs. laparoscopic surgery for rectal prolapse: a case-controlled study assessing short-term outcomeDis Colon Rectum46353360CrossRefPubMed

13.

Kellokumpu, IH, Vironen, J, Scheinin, T 2000Laparoscopic repair of rectal prolapse. A prospective study evaluating surgical outcome and changes in symptoms and bowel functionSurg Endosc14634640CrossRefPubMed

14.

Kim, DS, Tsang, CB, Wong, WD, Lowry, AC, Goldberg, SM, Madoff, RD 1999Complete rectal prolapse: evolution of management and resultsDis Colon Rectum42460469CrossRefPubMed

15.

Marana, HR, Andrade, JM, Marana, RR, Matheus Sala, M, Philbert, PM, Rodrigues, R 1999Vaginal hysterectomy for correcting genital prolapse. Long-term evaluationJ Reprod Med44529534PubMed

16.

Margossian, H, Walters, MD, Falcone, T 1999Laparoscopic management of pelvic organ prolapseEur J Obstet Gynecol Reprod Biol855762CrossRefPubMed

17.

Melvin, WS, Needleman, BJ, Krause, KR, Schneider, C, Wolf, RK, Michler, RE, Ellison, EC 2002Computer-enhanced robotic telesurgeryInitial experience in foregut surgery. Surg Endosc1617901792

18.

Munz, Y, Moorthy, K, Kudchadkar, R, Hernandez, JD, Martin, S, Darzi, A, Rockall, T 2004Robotic assisted rectopexyAm J Surg1878892CrossRefPubMed

19.

Solomon, MJ, Young, CJ, Eyers, AA, Roberts, RA 2002Randomized clinical trial of laparoscopic versus open abdominal rectopexy for rectal prolapseBr J Surg893539CrossRefPubMed

20.

Stevenson, AR, Stittz, RW, Lumley, JW 1998Laparoscopic-assisted resection-rectopexy for rectal prolapse: early and medium follow-upDis Colon Rectum414654CrossRefPubMed

21.

Zittel, TT, Manncke, K, Haug, S, Schäfer, JF, Kreis, ME, Becker, HD, Jehle, EC 2000Functional results after laparoscopic rectopexy for rectal prolapseJ Gastrointest Surg4632641CrossRefPubMed

Title: Robotic-assisted pelvic organ prolapse surgery
Authors: A. Ayav
L. Bresler
J. Hubert
L. Brunaud
P. Boissel
Publication date: 01-09-2005
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 9/2005
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-004-2257-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Robotic-assisted pelvic organ prolapse surgery

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 9/2005

Laparoscopy versus open left lateral segmentectomy for recurrent pyogenic cholangitis

Laparoscopic hernia in the light of the Veterans Affairs Cooperative Study 456: more rigorous studies are needed

A poor response to proton pump inhibition is not a contraindication for laparoscopic antireflux surgery for gastro esophageal reflux disease

Laparoscopic surgery: Pitfalls due to anesthesia, positioning, and pneumoperitoneum

Timing of surgical intervention does not influence return of esophageal peristalsis or outcome for patients with achalasia

The authors reply