PELVIC PROLAPSE SURGERY
da Vinci® Pelvic Prolapse Surgery
da Vinci® Sacrocolpopexy
Pelvic prolapse occurs when a pelvic organ, such as the vagina or uterus slips out of its normal position. Surgery to correct this condition is called sacrocolpopexy. During surgery, doctors use surgical mesh to keep your pelvic organ(s) in the correct spot and ease symptoms. A sacrocolpopexy can also be done after a hysterectomy (removal of the uterus) to provide long-term support for the vagina.1
If you are thinking of having pelvic prolapse surgery, there may be several options to consider, including minimally invasive da Vinci® surgery.
Why da Vinci® Surgery?
da Vinci® technology enables your surgeon to operate through a few small incisions (cuts), like traditional laparoscopy, instead of a large open incision.
The da Vinci® System is a robotic-assisted surgical device that your surgeon is 100% in control of at all times. The da Vinci® System gives surgeons:
- A 3D HD view inside your body
- Wristed instruments that bend and rotate far greater than the human hand
- Enhanced vision, precision, and control
As a result of its technology, da Vinci® Sacrocolpopexy offers the following potential benefits compared to open surgery:
- Lower rate of complications 1,2,3,4
- Shorter hospital stay 2,3,4,5
- Less blood loss 1,2,3,5
- Less chance of a postoperative fever 1
As a result of this technology, da Vinci® Sacrocolpopexy offers the following potential benefits compared to traditional laparoscopy:
- Less blood loss 6,7
The da Vinci® System has brought minimally invasive surgery to more than 3 million patients worldwide. da Vinci® technology: changing the experience of surgery for people around the world.
Risks & Considerations Related to Sacrocolpopexy (pelvic prolapse surgery): mesh erosion/infection caused by mesh moving from vaginal wall into surrounding organs causing the need for another operation, injury to rectum/bowel, injury to bladder (organ that holds urine), injury to the ureters (the ureters drain urine from the kidney into the bladder), front wall of the rectum pushes into the back wall of the vagina, prolapsed bladder (bladder budges into vagina when supportive tissue weakens), vaginal incision opens or separates, loss of bladder control, pooling of blood between bladder and pubic bone, pooling of blood between the anus and vagina.
- Siddiqui, Nazema Y., Elizabeth J. Geller, and Anthony G. Visco. “Symptomatic and Anatomic 1-year Outcomes after Robotic and Abdominal Sacrocolpopexy.” American Journal of Obstetrics and Gynecology 206.5 (2012): 435.e1-35.e5. Print.
- Geller, Elizabeth J., Nazema Y. Siddiqui, Jennifer M. Wu, and Anthony G. Visco. “Short-Term Outcomes of Robotic Sacrocolpopexy Compared With Abdominal Sacrocolpopexy.” Obstetrics & Gynecology 112.6 (2008): 1201-206. Print.
- Nosti, Patrick A., Uduak Umoh Andy, Sarah Kane, Dena E. White, Heidi S. Harvie, Lior Lowenstein, and Robert E. Gutman. “Outcomes of Abdominal and Minimally Invasive Sacrocolpopexy.” Female Pelvic Medicine & Reconstructive Surgery 20.1 (2014): 33-37. Print.
- Li, Hanhan, Jesse Sammon, Florian Roghmann, Akshay Sood, Michael Ehlert, Maxine Sun, Mani Menon, Humphrey Atiemo, Quoc-Dien Trinh. “Utilization and perioperative outcomes of robotic vaginal vault suspension compared to abdominal or vaginal approaches for pelvic organ prolapse.” Canadian Urological Association Journal 8.3 (2014): 100-106. Print.
- Hoyte, Lennox, Roshanak Rabbanifard, Jennifer Mezzich, Renee Bassaly, and Katheryne Downes. “Cost Analysis of Open Versus Robotic-Assisted Sacrocolpopexy.” Female Pelvic Medicine & Reconstructive Surgery 18.6 (2012): 335-39. Print.
- Seror, Julien, David R. Yates, Elise Seringe, Christophe Vaessen, Marc-Olivier Bitker, Emmanuel Chartier-Kastler, and Morgan Rouprêt. “Prospective Comparison of Short-term Functional Outcomes Obtained after Pure Laparoscopic and Robot-assisted Laparoscopic Sacrocolpopexy.” World Journal of Urology 30.3 (2012): 393-98. Print.
- Awad, Nibal, Suzana Mustafa, Amnon Amit, Michael Deutsch, Joseph Eldor-Itskovitz, and Lior Lowenstein. “Implementation of a New Procedure: Laparoscopic versus Robotic Sacrocolpopexy.” Archives of Gynecology and Obstetrics 287.6 (2013): 1181-186. Print.
Important Safety Information
Serious complications may occur in any surgery, including da Vinci® Surgery, up to and including death. Individual surgical results may vary. Patients should talk to their doctor to decide if da Vinci® Surgery is right for them. Patients and doctors should review all available information on non-surgical and surgical options in order to make an informed decision. Please also refer to http://www.daVinciSurgery.com/Safety for important safety information.
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If you have questions about the da Vinci® Surgical System or about surgical procedures conducted with the da Vinci® Surgical System, consult a surgeon that has experience with the da Vinci® Surgical System. A list of surgeons that have experience with the da Vinci® Surgical System can be found in the Surgeon Locator.