Conventional laparoscopic and robotic sacrocolpopexy: tips and tricks

Area of Science:

• Urogynecology
• Minimally Invasive Surgery

Background:

• Increasing prevalence of symptomatic pelvic organ prolapse due to aging population.
• Limitations of open abdominal sacral colpopexy (ASC) include invasiveness and prolonged recovery.
• Patient and surgeon concerns regarding transvaginal approaches and mesh complications.

Purpose of the Study:

• To review institutional experience with laparoscopic and robotic ASC.
• To highlight patient evaluation and consent processes for ASC.
• To share surgical tips and tricks for minimally invasive ASC.

Main Methods:

• Review of institutional experience with laparoscopic and robotic ASC.
• Focus on patient selection, informed consent, and surgical technique.
• Emphasis on techniques developed through accumulated surgical experience.

Main Results:

• Laparoscopic and robotic ASC offer durable solutions for pelvic organ prolapse.
• Minimally invasive approaches are associated with reduced pain and faster recovery.
• Robotics enhances accessibility of minimally invasive ASC.

Conclusions:

• Laparoscopic and robotic ASC are effective and less invasive alternatives for pelvic organ prolapse repair.
• These techniques meet patient desires for durable surgery with improved quality of life and minimal morbidity.
• Institutional experience provides valuable insights for optimizing patient outcomes.