Subjective and objective outcomes 1 year after robotic-assisted laparoscopic sacrocolpopexy

Charbel Salamon, Patrick J. Culligan

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

We aimed to assess the subjective and objective outcomes 1 year after robotic sacrocolpopexy using a type I polypropylene mesh. This was a case series of 64 patients who underwent a robotic-assisted laparoscopic sacrocolpopexy using a type I monofilament polypropylene mesh coated with hydrophilic porcine collagen. Objective and subjective outcomes were assessed using the pelvic organ prolapse quantification (POP-Q), the short forms of the Pelvic Floor Impact Questionnaire (PFIQ 7) and the Pelvic Floor Distress Inventory (PFDI-20). Outcome measures were collected pre-operatively and 1 year post-operatively on all but one patient, who was lost to follow-up. Paired comparisons between pre- and post-operative outcomes were performed using the Wilcoxon signed rank test. At 1 year, POP-Q stage II or greater and loss of follow-up were considered to be surgical failure. The "surgical cure" rate was 89%. We observed three distal anterior failures, two distal posterior failures and one apical failure, and one patient was lost to follow-up. We found significant differences between pre- and post-operative POP-Q measurements (p < 0. 001) and PFDI-20/PFIQ-7 total scores (p < 0. 001). Robotic sacrocolpopexy using this polypropylene mesh resulted in significant improvements in subjective and objective outcome measures at 1 year.

Original languageEnglish (US)
Pages (from-to)35-38
Number of pages4
JournalJournal of Robotic Surgery
Volume7
Issue number1
DOIs
StatePublished - Jan 1 2013
Externally publishedYes

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Pelvic Organ Prolapse
Polypropylenes
Robotics
Pelvic Floor
Lost to Follow-Up
Outcome Assessment (Health Care)
Matched-Pair Analysis
Nonparametric Statistics
Swine
Collagen
Equipment and Supplies

All Science Journal Classification (ASJC) codes

  • Surgery
  • Health Informatics

Cite this

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abstract = "We aimed to assess the subjective and objective outcomes 1 year after robotic sacrocolpopexy using a type I polypropylene mesh. This was a case series of 64 patients who underwent a robotic-assisted laparoscopic sacrocolpopexy using a type I monofilament polypropylene mesh coated with hydrophilic porcine collagen. Objective and subjective outcomes were assessed using the pelvic organ prolapse quantification (POP-Q), the short forms of the Pelvic Floor Impact Questionnaire (PFIQ 7) and the Pelvic Floor Distress Inventory (PFDI-20). Outcome measures were collected pre-operatively and 1 year post-operatively on all but one patient, who was lost to follow-up. Paired comparisons between pre- and post-operative outcomes were performed using the Wilcoxon signed rank test. At 1 year, POP-Q stage II or greater and loss of follow-up were considered to be surgical failure. The {"}surgical cure{"} rate was 89{\%}. We observed three distal anterior failures, two distal posterior failures and one apical failure, and one patient was lost to follow-up. We found significant differences between pre- and post-operative POP-Q measurements (p < 0. 001) and PFDI-20/PFIQ-7 total scores (p < 0. 001). Robotic sacrocolpopexy using this polypropylene mesh resulted in significant improvements in subjective and objective outcome measures at 1 year.",
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Subjective and objective outcomes 1 year after robotic-assisted laparoscopic sacrocolpopexy. / Salamon, Charbel; Culligan, Patrick J.

In: Journal of Robotic Surgery, Vol. 7, No. 1, 01.01.2013, p. 35-38.

Research output: Contribution to journalArticle

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