Journal Basic Info

  • Impact Factor: 1.995**
  • H-Index: 8
  • ISSN: 2474-1647
  • DOI: 10.25107/2474-1647
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  Oral and Maxillofacial Surgery
  •  Thoracic Surgery
  •  Breast Surgery
  •  Bariatric Surgery
  •  Minimally Invasive Surgery
  •  Robotic Surgery
  •  Cardiovascular Surgery
  •  Neurological Surgery

Abstract

Citation: Clin Surg. 2018;3(1):2143.Research Article | Open Access

Robotic Sacrocolpopexy: Results, Complications and Evaluation of Impact on Quality of Life

Moreno Sierra J, Ciappara Paniagua M, Ruiz León MA, Fernandez Montarroso L, Resel Folkersma L, Galante Romo MI, Fernandez Perez C and Redondo Gonzalez E

Department of Urology, Institute of Health Research, Hospital San Carlos Hospital, Complutense University of Madrid, Spain

*Correspondance to: Moreno-Sierra J 

 PDF  Full Text DOI: 10.25107/2474-1647.2143

Abstract

Introduction: Robotic surgery for pelvic organ prolapse provides the advantages of laparoscopic approach with a shorter learning curve and an improvement of the surgeon ergonomic. The main objective is to describe our series providing an analysis of intra/postoperative complications and as secondary objective to analyze the improvement in Quality of Life (QoL).
Materials and Methods: Prospective longitudinal study. Mean age, Body Mass Index (BMI), POP-Q stage, length hospital stay, operative time, surgical blood loss, intraoperative/postoperative complications according Clavien-Dindo classification, recurrence rate and EPIQ questionnaire score before and 6 months after surgery. Qualitative variables were analyzed by Chi-square test or Fisher Test and quantitative variables by T-Student test and ANOVA (SPSS 15.0).Results: From 2006 to 2011 49 RASC were performed with a follow up of 25.5 months (SD 13.7), TOT was performed in 35 patients due to stress urinary incontinence. Five patients had intraoperative complications (10.1%). One presented a bleeding of the middle sacral artery, 3 bladder perforations and one vaginal perforation. Most frequent Clavien-Dindo postoperative complications were grade I and II (32.6% and 10.2%). Three grade IIIB complications (6.1%) were described. One mesh exposure, a relapsing vasovagal syncope due to an excessive tension of the mesh and a trocar hernia. The recurrence rate was 14.9% (7 patients) QoL scores improved in all categories except in functional defecation disorders and anal incontinence.Conclusion: RASC has a low rate of complications with good anatomical results providing a significant improvement in QoL. High grade Clavien-Dindo complications and recurrence were factors that influenced in QoL.

Keywords

Robotic Sacrocolpopexy; EPIQ; QoL; RASC

Cite the article

Moreno Sierra J, Ciappara Paniagua M, Ruiz Le´┐Żn MA, Fernandez Montarroso L, Resel Folkersma L, Galante Romo MI, et al. Robotic Sacrocolpopexy: Results, Complications and Evaluation of Impact on Quality of Life. Clin Surg. 2018; 3: 2143.

Search Our Journal

Journal Indexed In

Articles in PubMed

Risk Factors for Visual Impairment in an Uninsured Population and the Impact of the Affordable Care Act
 PubMed  PMC  PDF  Full Text
Monitoring an Ongoing Enhanced Recovery after Surgery (ERAS) Program: Adherence Improves Clinical Outcomes in a Comparison of Three Thousand Colorectal Cases
 PubMed  PMC  PDF  Full Text
View More...

Articles with Grants

Treatment of Refractory Condylomata Acuminata with 5-Aminolevulinic Acid-Photodynamic Therapy Combined with Tretinoin: Report of 66 Cases
 Abstract  PDF  Full Text
The Clinicopathologic Features and Management of Recurrent Thymoma
 Abstract  PDF  Full Text
View More...