Sacrocolpopexy experience with a novel robotic surgical platform

Int Urogynecol J. 2022 Nov;33(11):3255-3260. doi: 10.1007/s00192-022-05155-z. Epub 2022 Mar 21.

Abstract

Introduction and hypothesis: The objective was to describe early experience performing sacrocolpopexy using a novel robotic surgical platform.

Methods: This is a case series of all women who underwent robotic-assisted sacrocolpopexy using a new robotics platform (TransEnterix Senhance) between January 2019 and July 2021. All sacrocolpopexies were performed by a single Female Pelvic Medicine and Reconstructive surgeon at a large academic institution. Perioperative information including complications was abstracted from the medical record. Anatomical recurrence was defined as any anatomical point at or past the hymen (≥0). Data are descriptive, with Mann-Whitney U test used for comparison of operative time between the first and second half of the patients.

Results: A total of 25 sacrocolpopexies were performed using the new robotics platform. Mean age was 62.3 years (±9.2) and mean BMI was 26.5 (±3.8). Ten (40.0%) patients had a prior hysterectomy. Most (n = 21, 84.0%) had stage III or IV prolapse preoperatively. Mean operative time was 210.2 min (±48.6) and median estimated blood loss was 35 ml (IQR 25-50). Mean operative time decreased between the first and second half of the patients (231.7 min vs 190.3 min, p = 0.047). There were no major intraoperative complications. Median follow-up time was 16 weeks (IQR 4-34) and there were no subjective recurrences or retreatments during this period. Two patients (8.0%) had anatomical recurrence without subjective bother. There were two postoperative readmissions (8.0%) within 30 days for small bowel obstruction, one treated surgically and the other with nonsurgical management.

Conclusions: Our case series demonstrates feasibility and successful early adoption of a new robotics platform for robotic sacrocolpopexy.

Keywords: New technology; Robotic surgery; Sacrocolpopexy.

MeSH terms

  • Female
  • Gynecologic Surgical Procedures
  • Humans
  • Laparoscopy*
  • Middle Aged
  • Operative Time
  • Pelvic Organ Prolapse* / surgery
  • Retrospective Studies
  • Robotic Surgical Procedures*
  • Robotics*
  • Treatment Outcome