title: Robotic presacral neurectomy - technique and results.
abstract: BACKGROUND
  The feasibility, safety and outcomes of robotic presacral neurectomy were evaluated.
  
  
  METHODS
  A retrospective analysis was performed of 33 patients with midline chronic pelvic pain, who underwent robotic presacral neurectomy. Data were collected during the period March 2004-March 2010.
  
  
  RESULTS
  All patients underwent robotic presacral neurectomy and additional robotic procedures. Mean operating time for robotic presacral neurectomy was 5.8 (range 4.4-6.9) min. Mean blood loss, including concomitant procedures, was 39 (range 15-150) ml. Most patients were discharged the same day (60%) and mean hospital stay was 0.39 (range 0-2) days. There were no conversions or intra-operative complications. There were two postoperative complications: one pelvic abscess and one Clostridium difficile colitis. Pain improvement was reported by 73% (22/30) of patients.
  
  
  CONCLUSIONS
  Robotic presacral neurectomy is safe and feasible, resulting in improvement of pelvic pain in selected patients.
authors: Division of Gynecologic Surgery, Mayo Clinic, Scottsdale, AZ, USA. vkapetas@yahoo.com
authors: Vasilis
authors: V
authors: Kapetanakis
authors: Kristina
authors: K
authors: Jacob
authors: Jennifer
authors: J
authors: Klauschie
authors: Rosanne
authors: R
authors: Kho
authors: Javier
authors: J
authors: Magrina
mesh_terms: D000038:Abscess / Q000209:etiology; D000293:Adolescent; D000328:Adult; D016360:Clostridioides difficile / Q000378:metabolism; D003092:Colitis / Q000209:etiology / Q000382:microbiology; D005260:Female; D006760:Hospitalization; D006801:Humans; D009493:Neurosurgery / Q000379:methods*; D017699:Pelvic Pain / Q000601:surgery*; D015203:Reproducibility of Results; D012189:Retrospective Studies; D012371:Robotics; D013997:Time Factors