Minimally invasive surgery in pelvic floor repair

Document Type

Article

Publication Date

8-1-2017

Publication Title

Current opinion in obstetrics & gynecology

Abstract

PURPOSE OF REVIEW: To review the use and efficacy of minimally invasive surgery in pelvic organ prolapse (POP) repair. This review summarizes surgical options for management of POP with special emphasis on minimally invasive surgical approach and discusses the recent experience and feasibility of integrating robot-assisted technology.

RECENT FINDINGS: Minimally invasive approaches have equal efficacy and less morbidity than laparotomy for POP repair, particularly apical prolapse. Robotics may facilitate the rate of minimally invasive surgery for POP repair with greater cost and as yet no proven superiority for conventional laparoscopy.

SUMMARY: Minimally invasive surgery is the preferred approach to POP repair. Conventional laparoscopic or robotic sacral colpopexy is recommended for apical defect and procidentia.

Medical Subject Headings

Female; Humans; Laparoscopy; Minimally Invasive Surgical Procedures; Pelvic Floor; Pelvic Organ Prolapse; Reconstructive Surgical Procedures; Robotic Surgical Procedures; Robotics; Surgery, Computer-Assisted; Surgical Mesh; Treatment Outcome; Urinary Incontinence, Stress; Uterus; Vagina

PubMed ID

28594646

Volume

29

Issue

4

First Page

276

Last Page

281

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