Robotic versus laparoscopic ventral mesh rectopexy for complex pelvic floorprolapse: aprospective comparison of short-term functional outcomes: P020


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Abstract

Aim:Robotic surgery in pelvic floorprolapse has been shown to be safe and feasible. This study aims to compare the short-term results of robotic-assisted rectopexy with the laparoscopic approach.Methods:Forty-one consecutive female patients, mean age 59 ± 13 years, underwent surgery for complex pelvic floorprolapse (recto-enterocoele and/or cystocoele) from Jan 2009 to Dec 2009. A standardised technique of ventral mesh rectopexy was performed, either using a laparoscopic or robotic approach, with the only indication for the latter based on the availability of the robotic system. Symptomatic recurrence and functional outcomes wereprospectively assessed, comparingpreoperative and postoperative faecal incontinence (Wexner), Obstructed Defaecation Syndrome (ODS) and Gastro-Intestinal Quality-of-life (GIQL) scores.Results:Twenty-five patients underwent the laparoscopicprocedure and 16 patients underwent the roboticprocedure. Bothprocedures had a minimal morbidity and no deaths. After a median followup of 12 months (range 1-18), there was no significant difference in Wexner, ODS and GIQL scores between both groups. There were no cases of recurrence in this series.Conclusion:Robotic surgery is safe and feasible for pelvic floorprolapse disorders, with short-term recurrence rates and functional results comparable to the laparoscopic approach.

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