title: Robotic sacrocolpoperineopexy with ventral rectopexy for the combined treatment of rectal and pelvic organ prolapse: initial report and technique.
abstract: The objective of our study is to describe the peri-operative and early postoperative surgical outcomes following robotic sacrocolpoperineopexy with ventral rectopexy for the combined treatment of rectal and pelvic organ prolapse. This was a retrospective cohort study of ten women with symptomatic Stage 2 or greater pelvic organ prolapse and concomitant rectal prolapse who desired combined robotic surgery, at a single institution. The mean age of the subjects was 55.3 ± 19.2 years (range 19-86)  and the mean body mass index was 25.8 ± 5.7 kg/m(2). Preoperatively, the women had Stage 2 or greater pelvic organ prolapse and the average length of rectal prolapse was 2.1 ± 1.9 cm. There were no conversions to conventional laparoscopy or laparotomy. The mean operating room time was 307 ± 45 min with an estimated blood loss of 144 ± 68 ml. The average length of stay was 2.4 ± 0.8 days. Preliminary data suggest that robotic sacrocolpoperineopexy with ventral rectopexy is a feasible procedure with minimal operative morbidity for the combined treatment of rectal and pelvic organ prolapse. Longer follow-up is needed to ensure favorable long-term subjective and objective outcomes.
authors.affiliation: Dept. OB/GYN, Desk A-81, Obstetrics, Gynecology and Women's Health Institute, Cleveland Clinic, 9500 Euclid Ave., Cleveland, OH, 44195, USA.
authors.forename: Jhansi
authors.initials: J
authors.lastname: Reddy
authors.affiliation: Dept. OB/GYN, Desk A-81, Obstetrics, Gynecology and Women's Health Institute, Cleveland Clinic, 9500 Euclid Ave., Cleveland, OH, 44195, USA. ridgewb@ccf.org.
authors.forename: Beri
authors.initials: B
authors.lastname: Ridgeway
authors.affiliation: Digestive Disease Institute, Cleveland Clinic, Cleveland, OH, USA.
authors.forename: Brooke
authors.initials: B
authors.lastname: Gurland
authors.affiliation: Dept. OB/GYN, Desk A-81, Obstetrics, Gynecology and Women's Health Institute, Cleveland Clinic, 9500 Euclid Ave., Cleveland, OH, 44195, USA.
authors.forename: Marie Fidela R
authors.initials: MF
authors.lastname: Paraiso
keywords: Pelvic floor disorders; Pelvic organ prolapse; Rectal prolapse; Robotic-assisted laparoscopy; Sacrocolpopexy