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Surgical Technique for Robot-assisted Sacrocolpopexy Performed via a Single Port
Lior Lowenstein1, Emad Matanes1, Yechiel Z Burke1
1Department of Obstetrics and Gynecology, Rambam Health Care Campus, Haifa, Israel; Ruth and Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel.
Objective:
Sacrocolpopexy is considered the gold standard for the treatment of pelvic organ prolapse (POP). This procedure was the first technique used to treat POP with robotic assistance and has gone a long way since the open procedure was introduced. Originally, 5 trocars were inserted and there remained issues in terms of scarring, morcellation, and possibly an increased risk of infection. The objective of this video was to demonstrate a surgical technique and a few tips and tricks for a robot-assisted sacrocolpopexy performed via a single port in the umbilicus.
Methods:
Since July 2015, women with symptomatic uterine prolapse were selected to be operated on by a single surgeon via a single robotic port. The video presents some tips and tricks to aid the surgeon to perform this surgery in a safe and timely manner, using da Vinci S or Si system.
Conclusion:
Robotically assisted laparoscopic repair of POP by sacrocolpopexy via a single port is a feasible technique with promising cosmetic results. This technique avoids morcellation and should also decrease the risk of infection because of the lower number of incisions.
