title: Outcomes of robotic sacrocolpopexy using barbed delayed absorbable sutures.
abstract: OBJECTIVE
  To evaluate 1-year outcomes of robotic sacrocolpopexy (RSC) for pelvic organ prolapse using barbed delayed absorbable sutures.
  
  
  METHODS
  Retrospective cohort study (Class II-3).
  
  
  METHODS
  University-based hospital in Southeast Texas.
  
  
  METHODS
  Patients with symptomatic apical pelvic organ prolapse who underwent RSC using barbed delayed absorbable sutures between January 2011 and August 2012. Patients were examined postoperatively at least twice (after 6 weeks and 1 year).
  
  
  METHODS
  RSC procedure.
  
  
  RESULTS
  The study included a total of 20 patients, of them 15 had grades 3 or 4 whereas 5 had grade 2 apical defects according to the Baden-Walker classification system. Fourteen patients (70%) underwent concomitant hysterectomy while 9 (45%) underwent concomitant anti-incontinence surgery. Mesh suturing times were 46.9 ± 12.6 and 20.5 ± 9.3 minutes in the first 10 versus the last 10 cases, respectively (p < .001). The mean follow-up duration was 17.3 months (range, 12-24 months). There were no recurrences of apical defects or mesh/suture exposure/erosion. However, 1 patient developed a grade 2 cystocele, and another developed new-onset urinary incontinence, both after 1 year. A third patient's urine leakage did not improve postoperatively. Lastly, a fourth patient developed port site incisional hernia and underwent repair 5 months later.
  
  
  CONCLUSIONS
  Our study suggests that barbed delayed absorbable sutures are safe and effective in RCS procedures over 1 year. Larger, comparative, and randomized trials are recommended for definitive conclusions.
authors.affiliation: Department of Obstetrics and Gynecology, The University of Texas Medical Branch at Galveston, Galveston, Texas.
authors.forename: Mostafa A
authors.initials: MA
authors.lastname: Borahay
authors.affiliation: Eskisehir Osmangazi University School of Medicine, Eskisehir, Turkey.
authors.forename: Tufan
authors.initials: T
authors.lastname: Oge
authors.affiliation: Department of Obstetrics and Gynecology, The University of Texas Medical Branch at Galveston, Galveston, Texas.
authors.forename: Teresa M
authors.initials: TM
authors.lastname: Walsh
authors.affiliation: Department of Obstetrics and Gynecology, The University of Texas Medical Branch at Galveston, Galveston, Texas.
authors.forename: Pooja R
authors.initials: PR
authors.lastname: Patel
authors.affiliation: Department of Obstetrics and Gynecology, The University of Texas Medical Branch at Galveston, Galveston, Texas.
authors.forename: Ana M
authors.initials: AM
authors.lastname: Rodriguez
authors.affiliation: Department of Obstetrics and Gynecology, The University of Texas Medical Branch at Galveston, Galveston, Texas. Electronic address: gokilic@utmb.edu.
authors.forename: Gokhan Sami
authors.initials: GS
authors.lastname: Kilic
mesh_terms: D000328:Adult; D000368:Aged; D015331:Cohort Studies; D052858:Cystocele / Q000209:etiology; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000295:instrumentation* / Q000706:statistics & numerical data; D006801:Humans; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology*; D012008:Recurrence; D012189:Retrospective Studies; D012371:Robotics; D013536:Suture Techniques; D013537:Sutures / Q000009:adverse effects / Q000706:statistics & numerical data*; D013781:Texas / Q000453:epidemiology
keywords: Barbed suture; Robotic; Sacrocolpopexy