Robotic sacrocolpoperineopexy with ventral rectopexy for the combined treatment of rectal and pelvic organ prolapse: Initial report and technique

被引：8
作者：
Reddy J. [1 ]
Ridgeway B. [1 ]
Gurland B. [2 ]
Paraiso M.F.R. [1 ]
机构：
[1] Dept. OB/GYN, Desk A-81, Obstetrics, Gynecology and Women's Health Institute, Cleveland Clinic, Cleveland, OH 44195
[2] Digestive Disease Institute, Cleveland Clinic, Cleveland, OH
来源：
Journal of Robotic Surgery | 2011年 / 5卷 / 3期
关键词：
Pelvic floor disorders; Pelvic organ prolapse; Rectal prolapse; Robotic-assisted laparoscopy; Sacrocolpopexy;
D O I：
10.1007/s11701-011-0257-8
中图分类号：
学科分类号：
摘要：
The objective of our study is to describe the peri-operative and early postoperative surgical outcomes following robotic sacrocolpoperineopexy with ventral rectopexy for the combined treatment of rectal and pelvic organ prolapse. This was a retrospective cohort study of ten women with symptomatic Stage 2 or greater pelvic organ prolapse and concomitant rectal prolapse who desired combined robotic surgery, at a single institution. The mean age of the subjects was 55.3 ± 19.2 years (range 19-86) and the mean body mass index was 25.8 ± 5.7 kg/m2. Preoperatively, the women had Stage 2 or greater pelvic organ prolapse and the average length of rectal prolapse was 2.1 ± 1.9 cm. There were no conversions to conventional laparoscopy or laparotomy. The mean operating room time was 307 ± 45 min with an estimated blood loss of 144 ± 68 ml. The average length of stay was 2.4 ± 0.8 days. Preliminary data suggest that robotic sacrocolpoperineopexy with ventral rectopexy is a feasible procedure with minimal operative morbidity for the combined treatment of rectal and pelvic organ prolapse. Longer follow-up is needed to ensure favorable long-term subjective and objective outcomes. © 2011 Springer-Verlag London Ltd.
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收藏
页码：167 / 173
页数：6
相关论文
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