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Robot-assisted laparoscopic pelvic floor surgery: Review.
Yair Daykan1, Reut Rotem2, Barry A O'Reilly3
1Department of Obstetrics and Gynecology, Meir Medical Center, Kfar Saba, Israel; Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Best Practice & Research. Clinical Obstetrics & Gynaecology
|September 30, 2023
Summary
Robotic-assisted surgery enhances complex pelvic floor repairs in urogynaecology, offering benefits for procedures like sacrocolpopexy. Further research, including randomized controlled trials, is needed to fully establish its efficacy.
Area of Science:
- Urogynaecology
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Minimally invasive surgical techniques, particularly robotic-assisted surgery, are increasingly adopted in pelvic floor reconstructive urogynaecology.
- Complex female pelvic floor anatomy often necessitates advanced surgical skills, which can be more readily acquired through robotic platforms.
- Robotic-assisted surgery is becoming a standard for procedures such as sacrocolpopexy for apical prolapse.
Purpose of the Study:
- To provide an updated review of robotic-assisted surgery in pelvic floor reconstructive urogynaecology.
- To incorporate recent literature and personal experience in the field.
- To highlight the benefits and applications of robotic surgery in urogynaecological procedures.
Main Methods:
- Review of recently published literature on robotic-assisted pelvic floor reconstructive urogynaecological surgery.
- Inclusion of personal surgical experience in the field.
- Focus on common applications like sacrocolpopexy, sacrohysteropexy, sacrocervicopexy, and fistula repair.
Main Results:
- Robotic-assisted surgery facilitates complex pelvic floor repairs, including apical prolapse correction via sacrocolpopexy.
- The robotic platform aids in procedures involving the bladder and other pelvic organs.
- Despite increasing use, robust data, especially from randomized controlled trials, remains limited.
Conclusions:
- Robotic-assisted surgery offers significant benefits and is a valuable tool in urogynaecological reconstructive surgery.
- Further research, particularly randomized controlled trials, is warranted to strengthen the evidence base.
- The review synthesizes current knowledge and clinical experience regarding robotic applications in this specialty.
