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Prospective evaluation of surgical outcomes of robot-assisted sacrocolpopexy and sacrocervicopexy for the management of apical pelvic support defects.
South Med J. 2012 May; 105(5):274-8.SM

Abstract

OBJECTIVE

To evaluate outcomes of robot-assisted sacrocolpopexy (RSCP) and sacrocervicopexy (RCSP).

METHODS

We conducted a prospective study of women undergoing RSCP or RCSP between June 2008 and January 2010.

RESULTS

A total of 85 cases (48 RSCP and 37 supracervical hysterectomy with concomitant RCSP) were performed: 33% (28/85) for stage II, 54% (46/85) for stage III, and 13% (11/85) for stage IV pelvic organ prolapse (POP). Six weeks postoperatively, 96% (80/83) had stage 0, 2.4% (2/83) had stage I, and 1.2% (1/83) had stage II POP (P < 0.001). Six months postoperatively, 77% (24/31) had stage 0, 6.5% (2/31) had stage I, and 16% (5/31) had stage II POP (P < 0.001). Mean surgical time, estimated blood loss, and length of hospital stay was 194 ± 54 minutes, 49 ± 48 cm, and 1.6 ± 0.72 days, respectively. There were 2 cases of mesh erosion (2.3%), both in the RSCP group.

CONCLUSIONS

RSCP and RCSP are effective, efficient, and safe procedures.

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Authors+Show Affiliations

Matthews CA
Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC 27599-7570, USA. catherine_matthews@med.unc.edu
Carroll A
No affiliation info available
Hill A
No affiliation info available
Ramakrishnan V
No affiliation info available
Gill EJ
No affiliation info available

MeSH

FemaleFollow-Up StudiesHumansPelvic FloorPelvic Floor DisordersPelvic Organ ProlapsePelvisPostoperative ComplicationsProspective StudiesRoboticsSurveys and QuestionnairesTreatment Outcome

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

22561541

Citation

Matthews, Catherine A., et al. "Prospective Evaluation of Surgical Outcomes of Robot-assisted Sacrocolpopexy and Sacrocervicopexy for the Management of Apical Pelvic Support Defects." Southern Medical Journal, vol. 105, no. 5, 2012, pp. 274-8.
Matthews CA, Carroll A, Hill A, et al. Prospective evaluation of surgical outcomes of robot-assisted sacrocolpopexy and sacrocervicopexy for the management of apical pelvic support defects. South Med J. 2012;105(5):274-8.
Matthews, C. A., Carroll, A., Hill, A., Ramakrishnan, V., & Gill, E. J. (2012). Prospective evaluation of surgical outcomes of robot-assisted sacrocolpopexy and sacrocervicopexy for the management of apical pelvic support defects. Southern Medical Journal, 105(5), 274-8. https://doi.org/10.1097/SMJ.0b013e318254d0c6
Matthews CA, et al. Prospective Evaluation of Surgical Outcomes of Robot-assisted Sacrocolpopexy and Sacrocervicopexy for the Management of Apical Pelvic Support Defects. South Med J. 2012;105(5):274-8. PubMed PMID: 22561541.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prospective evaluation of surgical outcomes of robot-assisted sacrocolpopexy and sacrocervicopexy for the management of apical pelvic support defects. AU - Matthews,Catherine A, AU - Carroll,Ashley, AU - Hill,Audra, AU - Ramakrishnan,Viswanathan, AU - Gill,Edward J, PY - 2012/5/8/entrez PY - 2012/5/9/pubmed PY - 2012/8/3/medline SP - 274 EP - 8 JF - Southern medical journal JO - South Med J VL - 105 IS - 5 N2 - OBJECTIVE: To evaluate outcomes of robot-assisted sacrocolpopexy (RSCP) and sacrocervicopexy (RCSP). METHODS: We conducted a prospective study of women undergoing RSCP or RCSP between June 2008 and January 2010. RESULTS: A total of 85 cases (48 RSCP and 37 supracervical hysterectomy with concomitant RCSP) were performed: 33% (28/85) for stage II, 54% (46/85) for stage III, and 13% (11/85) for stage IV pelvic organ prolapse (POP). Six weeks postoperatively, 96% (80/83) had stage 0, 2.4% (2/83) had stage I, and 1.2% (1/83) had stage II POP (P < 0.001). Six months postoperatively, 77% (24/31) had stage 0, 6.5% (2/31) had stage I, and 16% (5/31) had stage II POP (P < 0.001). Mean surgical time, estimated blood loss, and length of hospital stay was 194 ± 54 minutes, 49 ± 48 cm, and 1.6 ± 0.72 days, respectively. There were 2 cases of mesh erosion (2.3%), both in the RSCP group. CONCLUSIONS: RSCP and RCSP are effective, efficient, and safe procedures. SN - 1541-8243 UR - https://www.unboundmedicine.com/medline/citation/22561541/Prospective_evaluation_of_surgical_outcomes_of_robot_assisted_sacrocolpopexy_and_sacrocervicopexy_for_the_management_of_apical_pelvic_support_defects_ L2 - http://dx.doi.org/10.1097/SMJ.0b013e318254d0c6 DB - PRIME DP - Unbound Medicine ER -