Robotics for Pelvic Reconstruction

Olga Ramm, Kimberly Kenton*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

4 Scopus citations

Abstract

Robotic-assisted laparoscopy is increasingly used in female pelvic reconstructive surgery to combine the benefits of abdominally placed mesh for prolapse outcomes with the quicker recovery time associated with minimally invasive procedures. Level III data suggest that early outcomes of robotic sacrocolpopexy are similar to those of open sacrocolpopexy. A single randomized trial has provided level I evidence that robotic and laparoscopic approaches to sacrocolpopexy have similar short-term anatomic outcomes, although operating times, postoperative pain, and cost are increased with robotics. Patient satisfaction and long-term outcomes of both robotic and laparoscopic sacrocolpopexy are insufficiently studied despite their widespread use in the treatment of prolapse. Given the high reoperative rates for prolapse repairs, long-term follow-up is essential, and well-designed comparative effectiveness research is needed to evaluate pelvic floor surgery adequately.

Original languageEnglish (US)
Pages (from-to)176-181
Number of pages6
JournalCurrent Bladder Dysfunction Reports
Volume6
Issue number3
DOIs
StatePublished - Dec 1 2011

Keywords

  • Female pelvic medicine and reconstructive surgery
  • Laparoscopy
  • Minimally invasive gynecology
  • Pelvic floor disorders
  • Pelvic organ prolapse
  • Pelvic reconstruction
  • Robotic surgery
  • Robotics
  • Sacrocolpopexy

ASJC Scopus subject areas

  • Biochemistry
  • Molecular Biology

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