Assessment of the durability of robot-assisted laparoscopic sacrocolpopexy for treatment of XXXX .

@entity1 @entity7502 @entity3577
Transabdominal sacrocolpopexy has been shown, in multiple long-term studies of its success and durability, to be the definitive treatment option for post-hysterectomy @entity3577 . It is, however, associated with greater morbidity than vaginal repair. We describe a minimally invasive technique for @entity3577 repair and present our experience with a minimum of one-year follow-up. The surgical technique involves five laparoscopic ports-three for the da Vinci robot and two for the assistant. After appropriate dissection a @entity7502 mesh is attached to the sacral promontory and to the vaginal apex by use of Gore-Tex sutures. The mesh material is then covered by the peritoneum. @entity1 analysis focused on complications, urinary continence, @entity1 satisfaction, and morbidity, with a minimum of 12  months follow-up. Forty-two @entity1 with post-hysterectomy @entity3577 underwent robot-assisted laparoscopic sacrocolpopexy at our institute and 35 have a minimum of 12  months follow-up, with a mean follow-up of 36  months (range 12-48) in the group. Mean age was 67 (47-83) years and mean operating time was 3.1 (2.15-4.75)  h for the entire cohort. All but one @entity1 were discharged home on postoperative day one; one @entity1 left on postoperative day two. One developed recurrent grade three rectocele, one had recurrent vault prolapse, and two suffered from vaginal extrusion of mesh. All @entity1 were satisfied with their outcome. The robot-assisted laparoscopic sacrocolpopexy is a minimally invasive technique for @entity3577 repair, combining the advantages of open sacrocolpopexy with the reduced morbidity of laparoscopy. We observed reduced hospital stay, low occurrence of complications, and high @entity1 satisfaction, with a minimum of 1-year follow-up. Most importantly, the long-term results of the robotic repair are similar to those of open repair, but with significantly less morbidity.
