Facts, Views & Vision
in ObGyn

Journal of the European Society for Gynaecological Endoscopy

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The Senhance ® assisted laparoscopy in urogynaecology: case report of sacral colpopexy with subtotal hysterectomy with bilateral salpingo-oophorectomy for pelvic organ prolapse *

* Video Article, to see the video use this link: https://qrco.de/bbdi3G

G. Panico 1, G. Campagna 1, L. Vacca 1, D. Caramazza 1, S. Pizzacalla 2, V. Rumolo 3, G. Scambia 2,3, A. Ercoli 4

1 Fondazione Policlinico Universitario A. Gemelli IRCCS, UOC Uroginecologia e Chirurgia Ricostruttiva del Pavimento Pelvico, Dipartimento di Scienze della Salute della Donna e del Bambino e di Sanità Pubblica, Roma, Italia,00168;
2 Università Cattolica del Sacro Cuore, Istituto di Ginecologia ed Ostetricia, Roma, Italia, 00168; 4 PID Ginecologia Oncologica e Chirurgia Ginecologica Miniinvasiva, Università degli studi di Messina, Policlinico G.Martino, Messina, Italia, 98124;
3 Fondazione Policlinico Universitario A. Gemelli IRCCS, UOC di Ginecologia Oncologica, Dipartimento di Scienze della Salute della Donna e del Bambino e di Sanità Pubblica, Roma, Italia, 00168;
4 Department of Gynaecology and Obstetrics, University of East Piedmont “A. Avogadro”, Novara, Italy.

Keywords:

Laparoscopy, Pelvic organ prolapse, Robotic surgery, Sacrocolpopexy


Published online: Oct 09 2020

Abstract

The aim of this case report was to evaluate the feasibility, efficacy, and safety of nerve-sparing laparoscopic sacrocolpopexy (SCP) performed with a minimally invasive approach by using 2.9-mm Senhance ® surgical robotic system (Senhance ® , TRANSENTERIX Inc., USA). A 60-year-old Caucasian woman with symptomatic pelvic organ prolapse-Q (POP-Q) Aa: 2, Ba: 3, C: +4, Bp:2, Ap: 2, TVL:10 underwent subtotal hysterectomy with bilateral salpingo-oophorectomy, with nerve-sparing SCP performed using the Senhance surgical robotic system.. The urogynaecological assessment on the day of discharge and at the 3 month follow-up showed surgical anatomic success (<2 POP-Q stage). The patient was fully satisfied with the cosmetic result. This is the first case of SCP performed with this innovative system. SCP using “Senhance ® ” is a feasible and effective approach with good results in terms of operative time, cosmesis, postoperative pain and length of hospitalisation.

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