title: Uterine sparing robotic-assisted laparoscopic sacrohysteropexy for pelvic organ prolapse: safety and feasibility.
abstract: OBJECTIVE
  The aim of this study was to describe the surgical technique and report the safety and feasibility of robotic-assisted laparoscopic sacrohysteropexy, a uterine sparing procedure to correct pelvic organ prolapse (POP). Hysterectomy at the time of POP surgery has yet to be proven to improve the durability of repair. Nevertheless, the leading indication for hysterectomy in postmenopausal women is POP.
  
  
  METHODS
  We reviewed the medical records of a consecutive case series of uterine sparing prolapse repair procedures from 2005 to 2011. Fifteen women were identified. Procedures utilized a type I polypropylene mesh securing the posterior uterocervical junction to the sacral promontory. This was later modified to utilize a Y-shaped strip that was inserted through the broad ligaments to include the anterior uterocervical junction.
  
  
  RESULTS
  Objective success was defined as Baden Walker grade 0 uterine prolapse and subjective success was defined as no complaint of vaginal bulge or pressure. The mean age of women was 51.8 years (28-64 years). No intraoperative complications were noted. The mean operating time was 159.4 minutes (130-201 minutes) and mean estimated blood loss was 35 mL (0-100 mL). The mean length of stay was 1.6 days (1-4 days) and mean length of follow-up was 10.8 months. Uterine prolapse improved in all 15 patients. Objective success was 93% (14/15) and subjective success was 80% (12/15).
  
  
  CONCLUSIONS
  Robotic-assisted laparoscopic sacrohysteropexy was found to be a safe and feasible surgical treatment option for POP patients who desire uterine preservation.
authors.affiliation: New York University School of Medicine, New York, NY 10016, USA. ted.lee@nyumc.org
authors.forename: Ted
authors.initials: T
authors.lastname: Lee
authors.forename: Nirit
authors.initials: N
authors.lastname: Rosenblum
authors.forename: Victor
authors.initials: V
authors.lastname: Nitti
authors.forename: Benjamin M
authors.initials: BM
authors.lastname: Brucker
mesh_terms: D000328:Adult; D004867:Equipment Design; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000295:instrumentation; D008875:Middle Aged; D013513:Obstetric Surgical Procedures / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D059351:Organ Sparing Treatments / Q000009:adverse effects / Q000295:instrumentation; D011126:Polypropylenes; D012189:Retrospective Studies; D012371:Robotics; D025321:Surgery, Computer-Assisted / Q000009:adverse effects / Q000295:instrumentation; D013526:Surgical Mesh; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000601:surgery*
chemical_list: D011126:Polypropylenes