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Role of robotics in managing mesh and suture complications of prior pelvic organ prolapse surgery

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Abstract

Robotic surgery is proving essential in providing a minimally invasive approach to complex urogynaecological cases. This video highlights the diversity and complexity of cases performed using the robot-assisted approach. The robot-assisted approach was utilised for excellent effect in two complex urogynaecological cases. In the first case the entire left arm of an intravesically placed TVT was removed using a combined vaginal and robotic approach. The second case involved removing four paravaginal sutures, one of which breeched the bladder and was encrusted with calculus. These were placed during a laparoscopic paravaginal repair 2 years previously. She had a concomitant vaginal hysterectomy, Mc Calls culdoplasty and anterior wall repair. The robot-assisted approach allows for excellent access to the pelvis and retropubic space facilitating the surgical management of complex urogynaecology cases.

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Reference

  1. Advincula AP, Falcone T (2004) Laparoscopic robotic gynecologic surgery. Obstet Gynecol Clin North Am 31(3):599–609

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Authors and Affiliations

  1. Department of Urogynaecology and Robotic Surgery, Cork University Maternity Hospital, Cork, Ireland

    Michael N. Wilkinson, Orfhlaith E. O’Sullivan & Barry A. O’Reilly

Authors
  1. Michael N. Wilkinson
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  2. Orfhlaith E. O’Sullivan
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  3. Barry A. O’Reilly
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Corresponding author

Correspondence to Orfhlaith E. O’Sullivan.

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Conflict of interest

MW declares that he has no conflict of interest. OO’S and BO’R have received honoraria from Pfizer healthcare and Astellas.

Consent section

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000 (5). Informed consent was obtained from all patients for being included in the study.

Written informed consent was obtained from the patient for publication of this Case Report/any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.

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Wilkinson, M.N., O’Sullivan, O.E. & O’Reilly, B.A. Role of robotics in managing mesh and suture complications of prior pelvic organ prolapse surgery. J Robotic Surg 11, 91–92 (2017). https://doi.org/10.1007/s11701-016-0634-4

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  • DOI: https://doi.org/10.1007/s11701-016-0634-4

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