HUGOTM RAS System in urogynaecology: the first nerve sparing Sacral Colpopexy for Pelvic Organ Prolapse

被引:14
作者
Panico, G. [1 ]
Campagna, G. [1 ]
Caramazza, D. [1 ]
Vacca, L. [1 ]
Mastrovito, S. [1 ]
Ercoli, A. [2 ]
Scambia, G. [1 ]
机构
[1] Univ Cattolica Sacro Cuore, Fdn Policlin Univ A Gemelli IRCCS, Dipartimento Sci Salute Donna & Bambino & Sanita P, UOC Chirurg Ginecol, I-00168 Rome, Italy
[2] Univ Messina, PID Ginecol Oncolog & Chirurg Ginecolog Miniinvasi, Policlin GMartino, Messina, Italy
关键词
Laparoscopy; pelvic organ prolapse; colposacropexy; anatomy; dissection; PERCUTANEOUS SURGICAL SYSTEM; SALPINGO-OOPHORECTOMY; HYSTERECTOMY; METAANALYSIS;
D O I
10.52054/FVVO.15.1.054
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Background: Minimally invasive sacral colpopexy is considered the gold standard for surgical treatment of Pelvic Organ Prolapse (POP), combining high success rates with low recurrence risk in comparison to other techniques. This is the first case of robotic sacral colpopexy (RSCP) performed with the innovative HugoTM RAS robotic system. Objectives: The aim of this article is to show the surgical steps of a nerve sparing RSCP performed with the new HugoTM RAS robotic system (Medtronic), by also evaluating the feasibility of this technique using this novel Robotic System.Materials and methods: A 50-year-old Caucasian woman with symptomatic pelvic organ prolapse (POP-Q): Aa: +2, Ba: +3, C: +4, D: +4, Bp:-2, Ap:-2 , TVL:10 GH: 3,5 BP:3 underwent RSCP as well as a subtotal hysterectomy with bilateral salpingo-oophorectomy, using the new surgical robot HugoTM RAS in the Division of Urogynaecology and Pelvic Reconstructive Surgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy. Main outcome measures: Intraoperative data, docking specifics, objective and subjective outcomes at three months follow up.Results: Surgical procedure was carried out without intra-operative complications, operative time (OT) was 150 minutes, docking time was 9 minutes. No system errors or faults in the robotic arms were registered. Urogynaecological examination at three months follow up showed a complete resolution of the prolapse.Conclusion: RSCP using the HugoTM RAS system seems to be a feasible and effective approach according to results in terms of operative time, cosmetic results, postoperative pain and length of hospitalisation. Large number of case reports as well as longer follow up are mandatory to better define its benefits, advantages, and costs.
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收藏
页码:83 / 87
页数:5
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