title: Robotic sacrocolpopexy for posthysterectomy vaginal vault prolapse: a case series of 31 patients by a single surgeon with a long term follow-up.
abstract: BACKGROUND
  The aim of this paper was to evaluate the feasibility, short-term complications of robotic surgery and clinical outcomes in terms of long-term complications, pain relief and recurrence rate, for the treatment of vaginal vault prolapse (VVP).
  
  
  METHODS
  Prospective analysis of robotic-assisted laparoscopic sacrocolpopexy (RALS) performed between October 2011 and February 2015, in patients with advanced post-hysterectomy VVP and significant apical defects as defined by Baden- Walker Score ≥3.
  
  
  RESULTS
  Thirty-one consecutive of RALS were performed, with a mean follow-up of 27 months (range 2-48). Average total operative time was 185 minutes (range: 170-235). Estimated blood loss was 50 ml (range: 30-150). One case of cystotomy was reported, repaired with a 2.0 point. No others intra-operative complications occurred. Successful outcome was reported in 94% (29/31) of VVP repairs.
  
  
  CONCLUSIONS
  This series demonstrates optimal outcomes at long-term follow-up. RALS may provide the same long-term durability of open sacrocolpopexy with the benefit of a minimally invasive approach.
authors.affiliation: Department of Obstetrics and Gynecology, Alessandro Manzoni Hospital, Lecco, Italy.
authors.forename: Antonio
authors.initials: A
authors.lastname: Pellegrino
authors.affiliation: Department of Obstetrics and Gynecology, Alessandro Manzoni Hospital, Lecco, Italy - damiani14@alice.it.
authors.forename: Gianluca R
authors.initials: GR
authors.lastname: Damiani
authors.affiliation: Department of Obstetrics and Gynecology, Alessandro Manzoni Hospital, Lecco, Italy.
authors.forename: Mario
authors.initials: M
authors.lastname: Villa
authors.affiliation: Department of Obstetrics and Gynecology, Alessandro Manzoni Hospital, Lecco, Italy.
authors.forename: Ciro
authors.initials: C
authors.lastname: Sportelli
authors.affiliation: Department of Obstetrics and Gynecology, Alessandro Manzoni Hospital, Lecco, Italy.
authors.forename: Maria G
authors.initials: MG
authors.lastname: Pezzotta
mesh_terms: D000368:Aged; D016063:Blood Loss, Surgical; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D008875:Middle Aged; D061646:Operative Time; D056887:Pelvic Organ Prolapse / Q000209:etiology / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies; D065287:Robotic Surgical Procedures / Q000379:methods*; D013997:Time Factors