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.
引用
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页码：167 / 173
页数：6
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共 21 条
  • [11] Bump R.C., Mattiasson A., Bo K., Et al., The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction, Am J Obstet Gynecol, 175, pp. 10-17, (1996)
  • [12] Hodde J., Hiles M., Constructive soft tissue remodeling with a biologic extracellular matrix graft: overview and review of the clinical literature, Acta Chir Belg, 107, pp. 641-647, (2007)
  • [13] Stepp K.J., Walters M.D., Anatomy of the lower urinary tract, rectum, and pelvic floor, Urogynecology and Reconstructive Pelvic Surgery, pp. 17-30, (2007)
  • [14] Gordon D., Groutz A., Goldman G., Et al., Anal incontinence: prevalence among female patients attending urogynecologic clinic, Neurourol Urodyn, 18, pp. 199-204, (1999)
  • [15] Jackson S.L., Weber A.M., Hull T.L., Et al., Fecal incontinence in women with urinary incontinence and pelvic organ prolapse, Obstet Gynecol, 89, pp. 423-427, (1997)
  • [16] Ellerkmann R.M., Cundiff G.W., Melick C.F., Et al., Correlation of symptoms with location and severity of pelvic organ prolapse, Am J Obstet Gynecol, 185, pp. 1332-1337, (2001)
  • [17] Steele S.R., Lee P., Mullenix P.S., Et al., Is there a role for concomitant pelvic floor repair in patients with sphincter defects in the treatment of fecal incontinence?, Int J Colorectal Dis, 21, pp. 508-514, (2006)
  • [18] Darai E., Countant C., Rouzier R., Et al., Genital prolapse repair using porcine skin implant and bilateral sacrospinous fixation: midterm functional outcome and quality-of-life assessment, Urology, 73, pp. 245-250, (2009)
  • [19] Ellis C.N., Outcomes after repair of repair of rectovaginal fistulas using bioprosthetics, Dis Colon Rectum, 51, pp. 1084-1088, (2008)
  • [20] Williams N.S., Giordano P., Dvorkin L.S., Et al., External pelvic rectal suspension (the express procedure) for full-thickness rectal prolapse: evolution of a new technique, Dis Colon Rectum, 48, pp. 307-316, (2005)
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