Article ID Journal Published Year Pages File Type
3956630 Journal of Minimally Invasive Gynecology 2013 6 Pages PDF
Abstract

Study ObjectiveTo estimate the efficiency of procedural steps in robotic sacrocolpopexy and concomitant hysterectomy.DesignRetrospective study (Canadian Task Force classification II-2).SettingUniversity hospital.PatientsOne hundred forty-seven patients who underwent robotic-assisted procedures from November 2007 through December 2010.InterventionsRobotic-assisted sacrocolpopexy. Sixty patients (40.8%) underwent concomitant hysterectomy; 37 (25.2%), mid-urethral sling placement; and 7 (4.8%), concomitant colporrhaphy.Measurements and Main ResultsComparison of the first 20 procedures with the subsequent 127 demonstrated that there was considerable improvement in time of cuff closure (p = .04); sacral dissection (p = .004); anterior (p = .006), posterior, (p = .003), and sacral (p = .003) mesh attachment; peritoneal closure (p < .001); total docked time (p = .02); and total incision time (p < .001).ConclusionRobotic efficiency improves over a short learning period, with greatest differences in intracorporeal suturing and overall times. Identifying these steps may aid surgeons and learners in improving overall efficiency and establishing benchmarks for performance.

Related Topics
Health Sciences Medicine and Dentistry Obstetrics, Gynecology and Women's Health
Authors
, , ,