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Updated: Feb 10, 2026

Robotics in Surgery: A Modular Robotic Platform Driven Gastric Wedge Resection

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Published on: February 7, 2025

Robotic Sacral Colpopexy.

Charles R Powell¹, Isamu Tachibana¹, Bridget Eckrich¹

¹1 Department of Urology, Indiana University School of Medicine , Indianapolis, Indiana.

Journal of Endourology

|May 19, 2018

Summary

This summary is machine-generated.

Robot-assisted sacral colpopexy (RASC) offers comparable outcomes to open surgery for advanced pelvic organ prolapse (POP). This minimally invasive approach shows significant patient improvement with low failure rates.

Keywords:

mesh complication robotic surgery sacral colpopexy vaginal mesh vaginal prolapse

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Area of Science:

Minimally invasive surgery
Urogynecology
Surgical robotics

Background:

Pelvic organ prolapse (POP) is a common condition affecting women.
Open abdominal sacral colpopexy, the traditional standard, involves significant incisions and longer recovery.
Robot-assisted sacral colpopexy (RASC) is an emerging, less invasive surgical option.

Purpose of the Study:

To detail the indications, preoperative preparation, operative positioning, and surgical steps for RASC.
To evaluate the outcomes and complications of RASC in patients with advanced POP.

Main Methods:

A retrospective review of 119 women who underwent RASC between 2009 and 2016.
Surgical procedure broken down into 11 distinct steps, cross-referenced with an accompanying video.
Assessment of outcomes using Pelvic Organ Prolapse Quantification (POP-Q), UDI-6, and quality of life scores.

Main Results:

All patients demonstrated improvement in POP-Q, UDI-6, and quality of life scores postoperatively.
Low rates of failure: 0 apical, 7 anterior, and 4 posterior failures at 15.6 months follow-up.
Complications included 11 suture erosions (in 5 patients) and 2 mesh exposures.

Conclusions:

RASC provides outcomes comparable to traditional open abdominal sacral colpopexy.
The robotic approach offers a viable alternative for treating advanced pelvic organ prolapse with favorable results.