Robotic versus laparoscopic sacrocolpopexy for apical prolapse: a case-control study

Antonino Perino, Gloria Calagna, Gaspare Cucinella, Giuseppe Di Buono, Giorgio Romano, Antonino Agrusa, Gugliotta, Saitta, Giorgio Adile, Maria Manzone, Salvatore Saitta

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

The apical prolapse has always been considered the most complex of the defects of the pelvic floor, for both the difficulty of the surgical corrective technique and for the high post-surgical recurrence rate. Today, the laparoscopic sacrocolpopexy can be considered the standard treatment for apical prolapse. In the last years, several author performed robotic sacrocolpopexy, obtaining positive results. So, we developed a casecontrol study in order to compare the surgical outcome of robotic group with a control group of laparoscopic approach in patients with symptomatic apical pro-lapsed between January 2015 and December 2015 at University Hospital Policlinico "P. Giaccone" and Ospedali Riuniti "Villa Sofia-Cervello", Palermo. Our experience shows that robotic sacrocolpopexy can be considered in positive way for clinical results obtained: all procedures were executed with no complications, we noted a lower intraoperative blood loss and a shorter hospital stay than in laparoscopic group. Although the mean operative time and the economic costs are higher in robotic surgery, this study demonstrates that the use of robotic platform for repairing of symptomatic apical vaginal prolapse is feasible, safe and associated with short-term satisfactory results, representing therefore a valid alternative to laparoscopic approach.
Original languageEnglish
Pages (from-to)113-117
Number of pages5
JournalIL GIORNALE DI CHIRURGIA
Volume37
Publication statusPublished - 2016

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Prolapse
Robotics
Case-Control Studies
Post and Core Technique
Uterine Prolapse
Pelvic Floor
Operative Time
Length of Stay
Economics
Costs and Cost Analysis
Recurrence
Control Groups

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Robotic versus laparoscopic sacrocolpopexy for apical prolapse: a case-control study. / Perino, Antonino; Calagna, Gloria; Cucinella, Gaspare; Di Buono, Giuseppe; Romano, Giorgio; Agrusa, Antonino; Gugliotta; Saitta; Adile, Giorgio; Manzone, Maria; Saitta, Salvatore.

In: IL GIORNALE DI CHIRURGIA, Vol. 37, 2016, p. 113-117.

Research output: Contribution to journalArticle

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T1 - Robotic versus laparoscopic sacrocolpopexy for apical prolapse: a case-control study

AU - Perino, Antonino

AU - Calagna, Gloria

AU - Cucinella, Gaspare

AU - Di Buono, Giuseppe

AU - Romano, Giorgio

AU - Agrusa, Antonino

AU - Gugliotta, null

AU - Saitta, null

AU - Adile, Giorgio

AU - Manzone, Maria

AU - Saitta, Salvatore

PY - 2016

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N2 - The apical prolapse has always been considered the most complex of the defects of the pelvic floor, for both the difficulty of the surgical corrective technique and for the high post-surgical recurrence rate. Today, the laparoscopic sacrocolpopexy can be considered the standard treatment for apical prolapse. In the last years, several author performed robotic sacrocolpopexy, obtaining positive results. So, we developed a casecontrol study in order to compare the surgical outcome of robotic group with a control group of laparoscopic approach in patients with symptomatic apical pro-lapsed between January 2015 and December 2015 at University Hospital Policlinico "P. Giaccone" and Ospedali Riuniti "Villa Sofia-Cervello", Palermo. Our experience shows that robotic sacrocolpopexy can be considered in positive way for clinical results obtained: all procedures were executed with no complications, we noted a lower intraoperative blood loss and a shorter hospital stay than in laparoscopic group. Although the mean operative time and the economic costs are higher in robotic surgery, this study demonstrates that the use of robotic platform for repairing of symptomatic apical vaginal prolapse is feasible, safe and associated with short-term satisfactory results, representing therefore a valid alternative to laparoscopic approach.

AB - The apical prolapse has always been considered the most complex of the defects of the pelvic floor, for both the difficulty of the surgical corrective technique and for the high post-surgical recurrence rate. Today, the laparoscopic sacrocolpopexy can be considered the standard treatment for apical prolapse. In the last years, several author performed robotic sacrocolpopexy, obtaining positive results. So, we developed a casecontrol study in order to compare the surgical outcome of robotic group with a control group of laparoscopic approach in patients with symptomatic apical pro-lapsed between January 2015 and December 2015 at University Hospital Policlinico "P. Giaccone" and Ospedali Riuniti "Villa Sofia-Cervello", Palermo. Our experience shows that robotic sacrocolpopexy can be considered in positive way for clinical results obtained: all procedures were executed with no complications, we noted a lower intraoperative blood loss and a shorter hospital stay than in laparoscopic group. Although the mean operative time and the economic costs are higher in robotic surgery, this study demonstrates that the use of robotic platform for repairing of symptomatic apical vaginal prolapse is feasible, safe and associated with short-term satisfactory results, representing therefore a valid alternative to laparoscopic approach.

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JO - Giornale di Chirurgia

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