title: Role of robotics in managing mesh and suture complications of prior pelvic organ prolapse surgery.
abstract: Robotic surgery is proving essential in providing a minimally invasive approach to complex urogynaecological cases. This video highlights the diversity and complexity of cases performed using the robot-assisted approach. The robot-assisted approach was utilised for excellent effect in two complex urogynaecological cases. In the first case the entire left arm of an intravesically placed TVT was removed using a combined vaginal and robotic approach. The second case involved removing four paravaginal sutures, one of which breeched the bladder and was encrusted with calculus. These were placed during a laparoscopic paravaginal repair 2 years previously. She had a concomitant vaginal hysterectomy, Mc Calls culdoplasty and anterior wall repair. The robot-assisted approach allows for excellent access to the pelvis and retropubic space facilitating the surgical management of complex urogynaecology cases.
authors.affiliation: Department of Urogynaecology and Robotic Surgery, Cork University Maternity Hospital, Cork, Ireland.
authors.forename: Michael N
authors.initials: MN
authors.lastname: Wilkinson
authors.affiliation: Department of Urogynaecology and Robotic Surgery, Cork University Maternity Hospital, Cork, Ireland. scatterjack@gmail.com.
authors.forename: Orfhlaith E
authors.initials: OE
authors.lastname: O'Sullivan
authors.affiliation: Department of Urogynaecology and Robotic Surgery, Cork University Maternity Hospital, Cork, Ireland.
authors.forename: Barry A
authors.initials: BA
authors.lastname: O'Reilly
mesh_terms: D002114:Calcinosis / Q000601:surgery; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000379:methods; D006801:Humans; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery; D012086:Reoperation / Q000379:methods; D065287:Robotic Surgical Procedures / Q000379:methods*; D013526:Surgical Mesh / Q000009:adverse effects*; D013536:Suture Techniques / Q000009:adverse effects*; D001743:Urinary Bladder / Q000601:surgery; D014621:Vagina / Q000601:surgery
keywords: Mesh erosion; Paravaginal repair; Robotic surgery; TVT; Urogynaecology