Robotic-assisted Laparoscopic Sacrocolpopexy

University of California Irvine (UCI)

Status

Completed

Conditions

Pelvic Organ Prolapse

Treatments

Procedure: Robotic-assisted laparoscopic sacrocolpopexy

Procedure: Open sacrocolpopexy

Study type

Observational

Funder types

Other

Identifiers

NCT00581334

20054606

Details and patient eligibility

About

Robotic-assisted Abdominal Sacrocolpopexy is both a feasible and safe method for apical prolapse repair of the vagina.

Full description

Robotics offers many advantages over traditional laparoscopy: 1) intuitive movement of instruments, 2) "wristed instruments" with increased degrees of freedom, 3) enhanced 12X magnification, 4) 3-D depth perception, 5)tremor filtration, 6) enhanced surgeon comfort and ergonomics, and 7) a steeper learning curve. With robotic assistance, the surgeon can comfortably perform precise, repetitive motions, with greater dexterity and vision. To date, there have been a small number of published cases of laparoscopic sacrocolpopexy and two cases of series utilizing robotic-assistance. There have been no prospective, randomized, controlled trials comparing either of these modalities to conventional abdominal sacrocolpopexy.

Enrollment

20 patients

Sex

Female

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Non-pregnant women
Age >18 years
Eligible for sacrocolpopexy
Prior hysterectomy
Stage II or greater post hysterectomy vault prolapse
Satisfied parity
Patients electing for an abdominal repair to posthysterectomy vault prolapse

Exclusion criteria

Prisoners
Cognitively impaired adults
Not medically stable to undergo laparoscopic or abdominal surgery
Previous pelvic/vaginal radiation
Participants electing to proceed with a vaginal repair of vaginal vault prolapse
Participants electing to proceed with the traditional abdominal sacrocolpopexy
History of recurrent vaginal infections
Known urologic and/or gynecologic cancer