title: [Robot assisted Frykman-Goldberg procedure. Case report].
abstract: BACKGROUND
  Rectal prolapse is defined as the protrusion of the rectal wall through the anal canal; with a prevalence of less than 0.5%. The most frequent symptoms include pain, incomplete defecation sensation with blood and mucus, fecal incontinence and/or constipation. The surgical approach can be perineal or abdominal with the tendency for minimal invasion. Robot-assisted procedures are a novel option that offer technique advantages over open or laparoscopic approaches.
  
  
  METHODS
  67 year-old female, who presented with rectal prolapse, posterior to an episode of constipation, that required manual reduction, associated with transanal hemorrhage during defecation and occasional fecal incontinence. A RMI defecography was performed that reported complete rectal and uterine prolapse, and cystocele. A robotic assisted Frykman-Goldberg procedure wass performed.
  
  
  CONCLUSIONS
  There are more than 100 surgical procedures for rectal prolapse treatment. We report the first robot assisted procedure in Mexico. Robotic assisted surgery has the same safety rate as laparoscopic surgery, with the advantages of better instrument mobility, no human hand tremor, better vision, and access to complicated and narrow areas.
  
  
  CONCLUSIONS
  Robotic surgery as the surgical treatment is a feasible, safe and effective option, there is no difference in recurrence and function compared with laparoscopy. It facilitates the technique, improves nerve preservation and bleeding. Further clinical, prospective and randomized studies to compare the different minimal invasive approaches, their functional and long term results for this pathology are needed.
authors.affiliation: Cirugía General, Hospital Ángeles del Pedregal, Ciudad de México, México.
authors.forename: Gregorio
authors.initials: G
authors.lastname: Zubieta-O'Farrill
authors.affiliation: Cirugía general, SSA, Hospital Regional de Alta Especialidad de Ixtapaluca, Ixtapaluca, Estado de México, México.
authors.forename: Moisés
authors.initials: M
authors.lastname: Ramírez-Ramírez
authors.affiliation: Cirugía de Colon y Recto, Hospital Ángeles del Pedregal, Ciudad de México, México. Electronic address: dredvilla@me.com.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Villanueva-Sáenz
mesh_terms: D000368:Aged; D012809:Colon, Sigmoid / Q000601:surgery; D052858:Cystocele / Q000150:complications / Q000601:surgery; D019841:Defecography; D005242:Fecal Incontinence / Q000209:etiology; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008279:Magnetic Resonance Imaging; D061646:Operative Time; D012005:Rectal Prolapse / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D012007:Rectum / Q000601:surgery; D065287:Robotic Surgical Procedures; D012447:Sacrum / Q000601:surgery; D000074868:Salpingo-oophorectomy; D014596:Uterine Prolapse / Q000150:complications / Q000601:surgery
keywords: Cirugía robótica; Frykman-Goldberg; Prolapso rectal; Rectal prolapse; Rectopexia; Rectopexy; Robotic surgery; Sigmoidectomy; Sigmoidectomía