It was reported in a journal article title: robotic-assisted laparoscopic.Sacrocolpopexy for stage iii pelvic organ prolapse.Abdominal sacrocolpopexy is the gold standard treatment for pelvic organ prolapse and can be performed laparoscopically.Robotic assistance allows optimal dissection and placement of the prosthesis.The authors presented a video of the technique along with the results on 90 patients (age range: 33 to 80 years old; bmi: 18.5 32) with stage ii prolapse and were included in the study.During the surgical procedure, the authors performed a posterior dissection down to the level of the muscles and an anterior dissection down to the trigone.The meshes are made of mersuture polyester mesh (ethicon) and tailored by the surgeon.The authors made the choice of a mersuture mesh because it has been widely validated in sacrocolpopexy through laparotomy and because they noticed in the experience with classic laparoscopy that it was very well tolerated with rare inflammatory reaction and scarce periprosthetic fibrosis.Reported complications included vaginal posterior wound leading to recurrent subsequent exposure and finally withdrawal of the posterior mesh (n-1), bladder effraction (n-1), posterior vaginal effraction (n-1), and posterior prosthesis exposure (n-1).With the technique as described, the authors were able to perform a complete treatment for severe prolapse by a minimally invasive approach with a low rate of recurrence at this point.There is no specific complication when much care is taken of the abdominal wall.The procedure is notably facilitated by the use of the robot and the comfort of the surgeon is remarkably improved.
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