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Related Experiment Video

Updated: May 19, 2026

Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial
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Single Port Versus Multiport Robotic Hysterectomy With Sacrocolpopexy.

Sarah Ashmore1, Prottusha Sarkar2, Kimberly Kenton1

  • 1Section of Urogynecology and Reconstructive Pelvic Surgery, University of Chicago.

Urogynecology (Philadelphia, Pa.)
|May 18, 2026
PubMed
Summary

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Single port (SP) robotic surgery significantly reduces immediate postoperative pain compared to traditional multiport (TMP) robotic surgery for hysterectomy with sacrocolpopexy. This finding suggests SP offers better early pain management in gynecologic procedures.

Area of Science:

  • Minimally Invasive Gynecologic Surgery
  • Robotic Surgery Outcomes
  • Pelvic Floor Reconstruction

Background:

  • Limited comparative data exists for single port (SP) versus traditional multiport (TMP) robotic surgery.
  • Robotic hysterectomy with sacrocolpopexy is a common procedure for pelvic organ prolapse.

Purpose of the Study:

  • To compare postoperative pain following SP versus TMP robotic hysterectomy with concomitant sacrocolpopexy.
  • To evaluate surgical outcomes, adverse events, and prolapse recurrence as secondary objectives.

Main Methods:

  • Retrospective cohort study of 134 women undergoing SP or TMP robotic hysterectomy with sacrocolpopexy.
  • Postoperative pain assessed using a visual analogue scale in the postanesthesia care unit (PACU) and on postoperative day 1 (POD1).

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  • Comparison of pain scores, surgical outcomes, adverse events, and prolapse recurrence between SP and TMP groups.

    • Main Results:

    • The SP cohort (n=66) was younger and had a lower BMI than the TMP cohort (n=68).
    • Median PACU pain scores were significantly lower in the SP group compared to the TMP group (P < 0.001).
    • No significant differences in pain scores were observed at later postoperative visits, nor in surgical outcomes or adverse events.

    Conclusions:

    • Single port robotic surgery demonstrates superior immediate postoperative pain control compared to traditional multiport robotic surgery for hysterectomy with sacrocolpopexy.
    • SP robotic approach may enhance early recovery and patient comfort following this procedure.