Robotically assisted laparoscopic lateral suspension: a step-by-step approach aiming to standardize a novel procedure

Area of Science:

• Minimally Invasive Gynecologic Surgery
• Urogynecology
• Surgical Robotics

Background:

• Pelvic organ prolapse (POP) affects a significant number of women, necessitating effective surgical interventions.
• Traditional surgical methods for POP can be invasive and may not always preserve uterine function.
• Robotically assisted surgery offers enhanced precision and visualization for complex gynecologic procedures.

Discussion:

• Robotically assisted laparoscopic lateral suspension provides a standardized, step-by-step surgical approach for POP.
• This technique is particularly suitable for uterine-preserving surgery in cases of anterior and apical defects.
• The procedure involves meticulous trocar placement, dissection, mesh fixation, and peritoneal suturing for optimal outcomes.

Key Insights:

• Demonstrates a safe and effective robotically assisted laparoscopic lateral suspension for pelvic organ prolapse.
• Highlights a standardized technique for POP-Q stage 3 prolapse with combined anterior and apical defects.
• Emphasizes the utility of this method as a uterine-preserving alternative to sacropexy.

Outlook:

• Further adoption of this standardized robotic technique by urogynecologists is anticipated.
• This procedure represents an innovative advancement in minimally invasive treatment for pelvic organ prolapse.
• Continued research and training in robotically assisted laparoscopic lateral suspension will enhance patient care.