Minimally invasive surgery in urogynecology: a comparison of standard laparoscopic, minilaparoscopic, percutaneous surgical system, and robotic sacral colpopexy

• DOI: 10.23736/s0026-4806.20.06561-1
• Publication Date: 2021-07-16T09:27:49Z
• Authors: Giovanni PANICO; Giuseppe CAMPAGNA; Lorenzo VACCA; Daniela CARAMAZZA; Vito IANNONE; Cristiano ROSSITTO; Valerio RUMOLO; Giovanni SCAMBIA; Alfredo ERCOLI
• Keywords: Urogynecology

BACKGROUND: We compared surgical outcome of sacral colpopexy (SCP) performed with the most recent minimally invasive surgery such as 3-mm laparoscopy (Mini-LPS), percutaneous system (PSS), standard (LPS), and robotic surgery.METHODS: This is a multicenter retrospective cohort study conducted at Urogynecological Department IRCCS A. Gemelli University Polyclinic Foundation in Rome Gynecological Clinic Maggiore della Carità Hospital Novara, Abano. collected data 115 patients who underwent laparoscopic SCP for pelvic organ prolapse between June 2017 2018 using PSS, Mini-LPS, LPS, da Vinci Si.RESULTS: Patients all four groups had similar characteristics. The median operative time (OT) was significantly longer procedure to other There were no significant differences terms estimated blood loss, conversion laparotomy, intraoperative complications postoperative ileus. Visual Analogue Scale (VAS) 4 hours less Mini-LPS techniques. VAS 24 higher procedures than techniques.CONCLUSIONS: Results rule out that minimize invasiveness techniques could bring improvements not only from cosmetic point view but also functional one without requiring OT maintaining same configuration. Even if useful safe because its guarantee efficiency, it cannot be considered first choice many women.