title: Robotic or laparoscopic sacrohysteropexy versus open sacrohysteropexy for uterus preservation in pelvic organ prolapse.
abstract: OBJECTIVE
  The aim of this study was to compare robotic or laparoscopic sacrohysteropexy (RLSH) and open sacrohysteropexy (OSH) as a surgical treatment for pelvic organ prolapse (POP).
  
  
  METHODS
  Among 111 consecutive patients who had undergone sacrohysteropexy for POP, surgical outcomes and postoperative symptoms were compared between the RLSH (n = 54; robotic 14 cases and laparoscopic 40 cases) and OSH (n = 57). groups The medical records of enrolled patients were reviewed retrospectively.
  
  
  RESULTS
  Compared with the OSH group, the RLSH group had shorter operating time (120.2 vs 187.5 min, p < 0.0001), less operative bleeding (median estimated blood loss 50 vs 150 ml; p < 0.0001; mean hemoglobin drop 1.4 vs 2.0 g/dl; p < 0.0001), and fewer postoperative symptoms (13 vs 45.6 %; p < 0.0001). Patients' overall satisfaction (94.4 vs 91.2 %; p = 0.717) and required reoperation due to postoperative complications (3.7 vs 1.8 %; p = 0.611) did not differ between groups.
  
  
  CONCLUSIONS
  RLSH could be a feasible and safe procedure in patients with POP and should be considered as a surgical option that allows preservation of the uterus. Prospective randomized trials will permit the evaluation of potential benefits of RLSH as a minimally invasive surgical approach.
authors.affiliation: Department of Obstetrics and Gynecology, Ajou University School of Medicine, Suwon, Korea.
authors.forename: Jiheum
authors.initials: J
authors.lastname: Paek
authors.affiliation: Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea.
authors.forename: Maria
authors.initials: M
authors.lastname: Lee
authors.affiliation: Department of Obstetrics and Gynecology, Kangdong Sacred Heart Hospital, Hallym University School of Medicine, 150 Sung-an ro, Kangdong-gu, Seoul, 134-701, Korea.
authors.forename: Bo Wook
authors.initials: BW
authors.lastname: Kim
authors.affiliation: Department of Obstetrics and Gynecology, Kangdong Sacred Heart Hospital, Hallym University School of Medicine, 150 Sung-an ro, Kangdong-gu, Seoul, 134-701, Korea. kyiobgy63@gmail.com.
authors.forename: Yongil
authors.initials: Y
authors.lastname: Kwon
mesh_terms: D000368:Aged; D016063:Blood Loss, Surgical; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D006454:Hemoglobins / Q000378:metabolism; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects; D008875:Middle Aged; D061646:Operative Time; D059351:Organ Sparing Treatments; D017060:Patient Satisfaction; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology; D012086:Reoperation; D012189:Retrospective Studies; D065287:Robotic Surgical Procedures / Q000009:adverse effects; D014599:Uterus / Q000601:surgery*
chemical_list: D006454:Hemoglobins
keywords: Laparoscopic sacrohysteropexy; Pelvic organ prolapse; Robotic