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Chinese Journal of Laparoscopic Surgery(Electronic Edition) ›› 2021, Vol. 14 ›› Issue (03): 168-171. doi: 10.3877/cma.j.issn.1674-6899.2021.03.008

• New Technology and New Method • Previous Articles     Next Articles

A new approach for pelvic organ prolapse: robot-assisted transvaginal laparoscopic sacrocolpopexy

Juan Liu 1, Yuanyue Xiao 1, Qianqing Wang 2, Zhenkun Guan 3, Xiaoming Guan 4 , ( )   

  1. 1. Department of Obstetrics and Gynecology, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou 510150, China
    2. Division of Minimally Invasive Gynecology, Xinxiang Central Hospital, Xinxiang 453000, China
    3. Guangzhou Medical University, Guangzhou 510150, China
    4. Division of Minimally Invasive Gynecology, Baylor College of Medicine, Houston 77030, USA
  • Received:2021-05-01 Online:2021-08-18 Published:2021-08-18
  • Contact: Xiaoming Guan

Abstract:

Objective

To introduce a new surgical approach for the treatment of pelvic organ prolapse(POP), robot-assisted transvaginal laparoscopic sacrocolpopexy.

Methods

Retrospective analysis was performed on two patients who underwent robot-assisted transvaginal laparoscopic sacrocolpopexy for POP at Baylor College of Medicine in Jul. 2020, and the surgical effects were comprehensively evaluated by analyzing the recorded operative time, postoperative short-term complications, and postoperative recovery of living ability.

Rerusts

The operation took 227 minutes for Case 1 and 257 minutes for Case 2. The bladders’ residual urine was normal 24 hours after the catheters were removed and the bladders’ function were normal.No postoperative short-term complications, such as postoperative pain and infection were found in the follow-up at 3 weeks and 8 weeks after surgery. And POP-Q indexes are both 0 degrees.

Conclusions

Robot-assisted transvaginal laparoscopic sacrocolpopexy is a feasible, safe and effective new surgical method for the treatment of POP, which provides a new option for POP surgical approach.

Key words: Pelvic organ prolapse, Natural orifice transluminal endoscopic surgery, Rotot-assisted laparoscopy, Sacrocolpopexy

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