Skip to main content

Advertisement

SpringerLink
Log in

Robotic-assisted pelvic organ prolapse surgery

  • Original article
  • Published:
Surgical Endoscopy And Other Interventional Techniques Aims and scope Submit manuscript

Abstract

Background

This study describes technical aspect and short-term results of pelvic organ prolapse surgery using the da Vinci robotic system.

Methods

During a 1-year period, 18 consecutive patients with pelvic organ prolapse were operated on using the da-Vinci system. Clinical data were prospectively collected and analyzed.

Results

All but one procedure was successfully completed robotically (95%). Performed procedures were colpohysteropexy (n = 12), mesh rectopexy (n = 2), or sutured rectopexy combined with sigmoid resection (n = 4). Average setup time was 21 min and significantly decreased with experience. Mean operative time was 172 min (range, 45–280). There were no mortality and no specific morbidity due to the robotic approach. Mean hospital stay was 7 days. At 6 months, all patients were free of pelvic organ prolapse and stated that they were satisfied with anatomical and functional results.

Conclusion

Our experience indicates that using the da-Vinci robotic system is feasible, safe, and effective for the treatment of pelvic organ prolapse.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Figure 1

Similar content being viewed by others

References

  1. A Ayav L Bresler L Brunaud P Boissel (2004) ArticleTitleEarly results of one year robotic surgery using the Da Vinci system to perform advanced laproscopic procedures J Gastrointest Surg 8 720–726 Occurrence Handle10.1016/j.gassur.2004.06.002 Occurrence Handle15358334

    Article  PubMed  Google Scholar 

  2. R Baker AJ Senagore MA Luchtefeld (1995) ArticleTitleLaparoscopic-assisted versus open resection: rectopexy offers excellent results Dis Colon Rectum 38 199–201 Occurrence Handle10.1007/BF02052451 Occurrence Handle7851177

    Article  PubMed  Google Scholar 

  3. L Brunaud L Bresler A Ayav S Tretou L Cormier M Klein P Boissel (2003) ArticleTitleAdvantages of using robotic Da Vinci system for unilateral adrenalectomy: early results Ann Chir 128 530–535 Occurrence Handle10.1016/S0003-3944(03)00220-7 Occurrence Handle14559304

    Article  PubMed  Google Scholar 

  4. GB Cadière J Himpens O Germay R Izizaw M Degueldre J Vandromme E Capelluto J Bruyns (2001) ArticleTitleFeasibility of robotic laparoscopic surgery: 146 cases World J Surg 25 1467–1477 Occurrence Handle11760751

    PubMed  Google Scholar 

  5. A Cuschieri SM Shimi G Vander Velpen S Banting RA Wood (1994) ArticleTitleLaparoscopic prosthesis fixation rectopexy for complete rectal prolapse Br J Surg 81 138–139 Occurrence Handle8313092

    PubMed  Google Scholar 

  6. A Darzi MM Henry PJ Guillou P Shorvon JR Monson (1995) ArticleTitleStapled laparoscopic rectopexy for rectal prolapse Surg Endosc 9 301–303 Occurrence Handle7597603

    PubMed  Google Scholar 

  7. KI Deen E Grant C Billingham MRB Keighley (1994) ArticleTitleAbdominal resection rectopexy with pelvic floor repair versus perineal rectosigmoidectomy and pelvic floor repair for full thickness rectal prolapse Br J Surg 81 302–304 Occurrence Handle8156369

    PubMed  Google Scholar 

  8. JB Dubuisson S Jacob C Chapron A Fauconnier F Decuypere G Dubernard (2002) ArticleTitleLaparoscopic iliac colpo-uterine suspension for treatment of genital prolpase using two meshes: 47 first cases Gynécol Obstét Fertil 30 114–120 Occurrence Handle10.1016/S1297-9589(01)00277-6 Occurrence Handle11910879

    Article  PubMed  Google Scholar 

  9. M Hashizume M Shimada M Tomikawa Y Ikeda I Takahashi R Abe F Koga N Gotoh K Konishi S Maehara K Sugimachi (2002) ArticleTitleEarly experiences of endoscopic procedures in general surgery assisted by a computer-enhanced surgical system Surg Endosc 16 1187–1191 Occurrence Handle10.1007/s004640080154 Occurrence Handle11984681

    Article  PubMed  Google Scholar 

  10. J Himpens GB Cadière J Bruyns M Vertruyen (1999) ArticleTitleLaparoscopic rectopexy according to Wells Surg Endosc 13 139–141 Occurrence Handle10.1007/s004649900923 Occurrence Handle9918615

    Article  PubMed  Google Scholar 

  11. S Horgan D Vanuno (2001) ArticleTitleRobots in laparoscopic surgery J Laparoendosc Adv Surg Tech 11 415–419 Occurrence Handle10.1089/10926420152761950

    Article  Google Scholar 

  12. MV Kairaluoma MT Viljakka IH Kellokumpu (2003) ArticleTitleOpen vs. laparoscopic surgery for rectal prolapse: a case-controlled study assessing short-term outcome Dis Colon Rectum 46 353–360 Occurrence Handle10.1007/s10350-004-6555-8 Occurrence Handle12626911

    Article  PubMed  Google Scholar 

  13. IH Kellokumpu J Vironen T Scheinin (2000) ArticleTitleLaparoscopic repair of rectal prolapse. A prospective study evaluating surgical outcome and changes in symptoms and bowel function Surg Endosc 14 634–640 Occurrence Handle10.1007/s004640000017 Occurrence Handle10948299

    Article  PubMed  Google Scholar 

  14. DS Kim CB Tsang WD Wong AC Lowry SM Goldberg RD Madoff (1999) ArticleTitleComplete rectal prolapse: evolution of management and results Dis Colon Rectum 42 460–469 Occurrence Handle10.1007/BF02234167 Occurrence Handle10215045

    Article  PubMed  Google Scholar 

  15. HR Marana JM Andrade RR Marana M Matheus Sala Particlede PM Philbert R Rodrigues (1999) ArticleTitleVaginal hysterectomy for correcting genital prolapse. Long-term evaluation J Reprod Med 44 529–534 Occurrence Handle10394547

    PubMed  Google Scholar 

  16. H Margossian MD Walters T Falcone (1999) ArticleTitleLaparoscopic management of pelvic organ prolapse Eur J Obstet Gynecol Reprod Biol 85 57–62 Occurrence Handle10.1016/S0301-2115(98)00283-8 Occurrence Handle10428323

    Article  PubMed  Google Scholar 

  17. WS Melvin BJ Needleman KR Krause C Schneider RK Wolf RE Michler EC Ellison (2002) ArticleTitleComputer-enhanced robotic telesurgery Initial experience in foregut surgery. Surg Endosc 16 1790–1792

    Google Scholar 

  18. Y Munz K Moorthy R Kudchadkar JD Hernandez S Martin A Darzi T Rockall (2004) ArticleTitleRobotic assisted rectopexy Am J Surg 187 88–92 Occurrence Handle10.1016/j.amjsurg.2002.11.001 Occurrence Handle14706593

    Article  PubMed  Google Scholar 

  19. MJ Solomon CJ Young AA Eyers RA Roberts (2002) ArticleTitleRandomized clinical trial of laparoscopic versus open abdominal rectopexy for rectal prolapse Br J Surg 89 35–39 Occurrence Handle10.1046/j.0007-1323.2001.01957.x Occurrence Handle11851660

    Article  PubMed  Google Scholar 

  20. AR Stevenson RW Stittz JW Lumley (1998) ArticleTitleLaparoscopic-assisted resection-rectopexy for rectal prolapse: early and medium follow-up Dis Colon Rectum 41 46–54 Occurrence Handle10.1007/BF02236895 Occurrence Handle9510310

    Article  PubMed  Google Scholar 

  21. TT Zittel K Manncke S Haug JF Schäfer ME Kreis HD Becker EC Jehle (2000) ArticleTitleFunctional results after laparoscopic rectopexy for rectal prolapse J Gastrointest Surg 4 632–641 Occurrence Handle10.1016/S1091-255X(00)80114-6 Occurrence Handle11307100

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Digestive Surgery, University Hospital of Nancy-Brabois, 54511 Vandoeuvre les Nancy, France

    A. Ayav, L. Bresler, L. Brunaud & P. Boissel

  2. Department of Urology, University Hospital of Nancy-Brabois, 54511 Vandoeuvre les Nancy, France

    J. Hubert

Authors
  1. A. Ayav
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. L. Bresler
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. J. Hubert
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. L. Brunaud
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. P. Boissel
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to A. Ayav.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ayav, A., Bresler, L., Hubert, J. et al. Robotic-assisted pelvic organ prolapse surgery. Surg Endosc 19, 1200–1203 (2005). https://doi.org/10.1007/s00464-004-2257-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00464-004-2257-5

Keywords

Search

Navigation