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Robotic-Assisted Vesicovaginal Fistula Repair: A Comparative Analysis Between Hugo RAS and da Vinci Xi Systems
Deerush Kannan Sakthivel1, Amrithavarshini Ragavan2, Sandeep Bafna2
1Department of Urology, Apollo Hospitals, Chennai, India. deerush92@gmail.com.
Objective:
To compare the outcomes of vesicovaginal fistula (VVF) repair using two different robotic systems.
Design:
This retrospective comparative study analysed the surgical outcomes of VVF repair utilizing two different robotic platforms: the Hugo RAS Medtronic robot and the da Vinci Xi robot.
Methods:
VVF repair was performed with da Vinci Xi system (n = 15) and Hugo RAS Medtronic robot (n = 11) in a non-randomized fashion. Patient demographics, operative details (operative time and blood loss), intraoperative complications and postoperative outcomes were recorded and analysed.
Results:
The mean age of patients undergoing VVF repair was 41.2 years. In the Medtronic arm, the mean operative time was 82 min, with a mean blood loss of 60 ml. In the da Vinci arm, the mean operative time was 76 min, with a mean blood loss of 60 ml. Intraoperative complication was not observed in either group. Postoperative complications were minimal, with none exceeding Clavien-Dindo grade 2. Outcomes were comparable between both groups.
Conclusions:
Our study demonstrates the feasibility and safety of using both the Hugo RAS Medtronic robot and the da Vinci Xi robot for VVF repair. These preliminary findings suggest that robotic-assisted surgery is promising for VVF repair, irrespective of the robotic platform.
