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Journal of Robotic Surgery

, Volume 5, Issue 3, pp 167–173 | Cite as

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

  • Jhansi Reddy
  • Beri RidgewayEmail author
  • Brooke Gurland
  • Marie Fidela R. Paraiso
Original Article

Abstract

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.

Keywords

Robotic-assisted laparoscopy Rectal prolapse Pelvic organ prolapse Sacrocolpopexy Pelvic floor disorders 

Supplementary material

Supplementary material 1 (MPG 51818 kb)

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Copyright information

© Springer-Verlag London Ltd 2011

Authors and Affiliations

  • Jhansi Reddy
    • 1
  • Beri Ridgeway
    • 1
    Email author
  • Brooke Gurland
    • 2
  • Marie Fidela R. Paraiso
    • 1
  1. 1.Dept. OB/GYN, Desk A-81, Obstetrics, Gynecology and Women’s Health InstituteCleveland ClinicClevelandUSA
  2. 2.Digestive Disease InstituteCleveland ClinicClevelandUSA

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