Skip to main content
SpringerLink
Log in

Robotic/Laparoscopic Female Pelvic Reconstructive Surgery

  • Chapter
  • First Online:
Complications of Female Incontinence and Pelvic Reconstructive Surgery

Part of the book series: Current Clinical Urology ((CCU))

  • 900 Accesses

Abstract

With an increasingly aging population, surgical repair of pelvic organ prolapse has become one of the most common types of inpatient procedures performed in women. While the abdominal sacrocolpopexy has been suggested to be one of the preferred procedures for correcting defects of the vaginal vault, minimally invasive routes of this and other gynecologic procedures are becoming more popular as technological advances are adopted, and this has become a favorable technique for prolapse repair in many instances. With laparoscopic and robotic surgery, there is a unique set of perioperative considerations to be aware of and potential complications to understand and attempt to prevent wherever possible. In this chapter, we will discuss the potential perioperative complications unique to minimally invasive female pelvic surgery, and outline ways to decrease incidence of these complexities and tackle them when necessary.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Oliphant SS, Jones KA, Wang L, Bunker CH, Lowder JL. Trends over time with commonly performed obstetric and gynecologic inpatient procedures. Obstet Gynecol. 2010;116(4):926.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Nygaard IE, McCreery R, Brubaker L, et al. Abdominal sacrocolpopexy: a comprehensive review. Obstet Gynecol. 2004;104:805–23.

    Article  PubMed  Google Scholar 

  3. ACOG Committee Opinion No. 444: Choosing the route of hysterectomy for benign disease. Obstet Gynecol. 2009;114:1156–8.

    Google Scholar 

  4. AAGL Advancing Minimally Invasive Gynecology Worldwide. AAGL position statement: robotic-assisted laparoscopic surgery in benign gynecology. J Minim Invasive Gynecol. 2013;20(1):2–9.

    Article  Google Scholar 

  5. Paraiso MF et al. Laparoscopic and abdominal sacral colpopexies: a comparative cohort study. Am J Obstet Gynecol. 2005;192(5):1752–8.

    Article  PubMed  Google Scholar 

  6. Geller EJ et al. Short-term outcomes of robotic sacrocolpopexy compared with abdominal sacrocolpopexy. Obstet Gynecol. 2008;112(6):1201–6.

    Article  PubMed  Google Scholar 

  7. Nosti PA et al. Outcomes of abdominal and minimally invasive sacrocolpopexy: a retrospective cohort study. Female Pelvic Med Reconstr Surg. 2014;20(1):33–7.

    Article  PubMed  Google Scholar 

  8. Costantini E et al. Laparoscopic versus Abdominal sacrocolpopexy: a randomized controlled trial. J Urol. 2016;196(1):159–65.

    Article  PubMed  Google Scholar 

  9. Freeman RM et al. A randomised controlled trial of abdominal versus laparoscopic sacrocolpopexy for the treatment of post-hysterectomy vaginal vault prolapse: LAS study. Int Urogynecol J. 2013;24(3):377–84.

    Article  CAS  PubMed  Google Scholar 

  10. Appledorn SC, Costello AJ. Complications of robotic surgery and how to prevent them. In: Patel VR, editor. Robotic urologic surgery. London: Springer; 2007. p. 69–178.

    Google Scholar 

  11. Moller AM et al. Effect of preoperative smoking intervention on postoperative complications: a randomised clinical trial. Lancet. 2002;359(9301):114–7.

    Article  PubMed  Google Scholar 

  12. Graybill WS et al. Impact of smoking on perioperative pulmonary and upper respiratory complications after laparoscopic gynecologic surgery. Gynecol Oncol. 2012;125(3):556–60.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Lamvu G et al. Obesity: physiologic changes and challenges during laparoscopy. Am J Obstet Gynecol. 2004;191(2):669–74.

    Article  PubMed  Google Scholar 

  14. Scheib SA et al. Laparoscopy in the morbidly obese: physiologic considerations and surgical techniques to optimize success. J Minim Invasive Gynecol. 2014;21(2):182–95.

    Article  PubMed  Google Scholar 

  15. Osmundsen B et al. Tension-free vaginal tape failure after robotic sacrocolpopexy and tension-free vaginal tape for concomitant prolapse and stress incontinence. Female Pelvic Med Reconstr Surg. 2015;21(5):244–8.

    Article  PubMed  Google Scholar 

  16. Siedhoff MT et al. Mechanical bowel preparation before laparoscopic hysterectomy: a randomized controlled trial. Obstet Gynecol. 2014;123(3):562–7.

    Article  PubMed  Google Scholar 

  17. Kantartzis KL, Shepherd JP. The use of mechanical bowel preparation in laparoscopic gynecologic surgery: a decision analysis. Am J Obstet Gynecol. 2015;213(5):721.e1–5.

    Article  Google Scholar 

  18. Arnold A, Aitchison LP, Abbott J. Preoperative mechanical bowel preparation for abdominal, laparoscopic, and vaginal surgery: a systematic review. J Minim Invasive Gynecol. 2015;22(5):737–52.

    Article  PubMed  Google Scholar 

  19. Bradshaw AD, Advincula AP. Postoperative neuropathy in gynecologic surgery. Obstet Gynecol Clin N Am. 2010;37(3):451–9.

    Article  Google Scholar 

  20. Klauschie J et al. Use of anti-skid material and patient-positioning to prevent patient shifting during robotic-assisted gynecologic procedures. J Minim Invasive Gynecol. 2010;17(4):504–7.

    Article  PubMed  Google Scholar 

  21. White ECM. The aetiology and prevention of peri-operative corneal abrasions. Anaesthesia. 1998;53(2):157–61.

    Article  CAS  PubMed  Google Scholar 

  22. Ghomi A et al. Trendelenburg position in gynecologic robotic-assisted surgery. J Minim Invasive Gynecol. 2012;19(4):485–9.

    Article  PubMed  Google Scholar 

  23. Karthik S et al. Analysis of laparoscopic port site complications: a descriptive study. J Minim Access Surg. 2013;9(2):59–64.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Haya N, Maher CM. Complications in laparoscopic pelvic floor surgery. In: Coomarasamy MSA, Shafi M, Davila W, Chan K, editors. Gynecologic and obstetric surgery: challenges and management options. Oxford: Wiley; 2016. p. 362–6.

    Chapter  Google Scholar 

  25. Montz FJ, Holschneider CH, Munro M. Incisional hernia following laparoscopy: a survey of the American Association of Gynecologic Laparoscopists. J Am Assoc Gynecol Laparosc. 1994;1(4, Part 2):S23–4.

    Article  CAS  PubMed  Google Scholar 

  26. Myers EM et al. Robotic sacrocolpopexy performance and cumulative summation analysis. Female Pelvic Med Reconstr Surg. 2014;20(2):83–6.

    Article  PubMed  Google Scholar 

  27. Grace L, Soliemannjad R. Bowel injury in gynecologic laparoscopy: a systematic review. Obstet Gynecol. 2015;126(6):1306.

    Article  PubMed  Google Scholar 

  28. Reich H, McGlynn F, Budin R. Laparoscopic repair of full-thickness bowel injury. J Laparoendosc Surg. 1991;1(2):119–22.

    Article  CAS  PubMed  Google Scholar 

  29. Chamsy D, King C, Lee T. The use of barbed suture for bladder and bowel repair. J Minim Invasive Gynecol. 2015;22(4):648–52.

    Article  PubMed  Google Scholar 

  30. Hackethal A et al. Consideration for safe and effective gynaecological laparoscopy in the obese patient. Arch Gynecol Obstet. 2015;292(1):135–41.

    Article  CAS  PubMed  Google Scholar 

  31. Serati M et al. Robot-assisted sacrocolpopexy for pelvic organ prolapse: a systematic review and meta-analysis of comparative studies. Eur Urol. 2014;66(2):303–18.

    Article  PubMed  Google Scholar 

  32. Anand M et al. Perioperative complications of robotic sacrocolpopexy for post-hysterectomy vaginal vault prolapse. Int Urogynecol J. 2014;25(9):1193–200.

    Article  PubMed  Google Scholar 

  33. Pan K et al. A systematic review and meta-analysis of conventional laparoscopic sacrocolpopexy versus robot-assisted laparoscopic sacrocolpopexy. Int J Gynaecol Obstet. 2016;132(3):284–91.

    Article  PubMed  Google Scholar 

  34. Flynn MK et al. Vascular anatomy of the presacral space: a fresh tissue cadaver dissection. Am J Obstet Gynecol. 2005;192(5):1501–5.

    Article  PubMed  Google Scholar 

  35. Germanos S et al. Control of presacral venous bleeding during rectal surgery. Am J Surg. 2010;200(2):e33–5.

    Article  PubMed  Google Scholar 

  36. Nasralla D, Lucarotti M. An innovative method for controlling presacral bleeding. Ann R Coll Surg Engl. 2013;95(5):375–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  37. Unger CA et al. Perioperative adverse events after minimally invasive abdominal sacrocolpopexy. Am J Obstet Gynecol. 2014;211(5):547.e1–8.

    Article  Google Scholar 

  38. Adelman MR, Bardsley TR, Sharp HT. Urinary tract injuries in laparoscopic hysterectomy: a systematic review. J Minim Invasive Gynecol. 2014;21(4):558–66.

    Article  PubMed  Google Scholar 

  39. Tan-Kim J et al. Laparoscopic hysterectomy and urinary tract injury: experience in a health maintenance organization. J Minim Invasive Gynecol. 2015;22(7):1278–86.

    Article  PubMed  Google Scholar 

  40. Wang L et al. Laparoscopic hysterectomy in the presence of previous caesarean section: a review of one hundred forty-one cases in the Sydney West Advanced Pelvic Surgery Unit. J Minim Invasive Gynecol. 2010;17(2):186–91.

    Article  CAS  PubMed  Google Scholar 

  41. Chou MT, Wang CJ, Lien RC. Prophylactic ureteral catheterization in gynecologic surgery: a 12-year randomized trial in a community hospital. Int Urogynecol J Pelvic Floor Dysfunct. 2009;20(6):689–93.

    Article  PubMed  Google Scholar 

  42. Siddighi S, Yune JJ, Hardesty J. Indocyanine green for intraoperative localization of ureter. Am J Obstet Gynecol. 2014;211(4):436.e1–2.

    Article  Google Scholar 

  43. Gellhaus PT et al. Robotic management of genitourinary injuries from obstetric and gynaecological operations: a multi-institutional report of outcomes. BJU Int. 2015;115(3):430–6.

    Article  PubMed  Google Scholar 

  44. Belsante M et al. Mid term outcome of robotic mesh sacrocolpopexy. Can J Urol. 2013;20(1):6656–61.

    PubMed  Google Scholar 

  45. Gilleran JP, Johnson M, Hundley A. Robotic-assisted laparoscopic mesh sacrocolpopexy. Ther Adv Urol. 2010;2(5–6):195–208.

    Article  PubMed  PubMed Central  Google Scholar 

  46. Hudson CO et al. Outcomes of robotic sacrocolpopexy: a systematic review and meta-analysis. Female Pelvic Med Reconstr Surg. 2014;20(5):252–60.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Mahdi H et al. Predictors of surgical site infection in women undergoing hysterectomy for benign gynecologic disease: a multicenter analysis using the national surgical quality improvement program data. J Minim Invasive Gynecol. 2014;21(5):901–9.

    Article  PubMed  Google Scholar 

  48. Bratzler DW et al. Clinical practice guidelines for antimicrobial prophylaxis in surgery. Am J Health Syst Pharm. 2013;70(3):195–283.

    Article  CAS  PubMed  Google Scholar 

  49. Hidron AI et al. NHSN annual update: antimicrobial-resistant pathogens associated with healthcare-associated infections: annual summary of data reported to the National Healthcare Safety Network at the Centers for Disease Control and Prevention, 2006–2007. Infect Control Hosp Epidemiol. 2008;29(11):996–1011.

    Article  PubMed  Google Scholar 

  50. Colling KP et al. Abdominal hysterectomy: reduced risk of surgical site infection associated with robotic and laparoscopic technique. Surg Infect. 2015;16(5):498–503.

    Article  Google Scholar 

  51. Webster J, Osborne S. Preoperative bathing or showering with skin antiseptics to prevent surgical site infection. Cochrane Database Syst Rev. 2015;2:CD004985.

    Google Scholar 

  52. Colling K et al. Pre-operative antiseptic shower and bath policy decreases the rate of S. aureus and methicillin-resistant S. aureus surgical site infections in patients undergoing joint arthroplasty. Surg Infect. 2015;16(2):124–32.

    Article  Google Scholar 

  53. Cardiovascular Disease Educational and Research Trust, Cyprus Cardiovascular Disease Educational and Research Trust, European Venous Forum; International Surgical Thrombosis Forum, International Union of Angiology, Union Internationale de Phlébologie. Prevention and treatment of venous thromboembolism. International Consensus Statement (guidelines according to scientific evidence). Int Angiol. 2006;25(2):101–61.

    Google Scholar 

  54. Horowitz IR, Rock JA. Postanesthesia and postoperative care. In: Rock J, Thompson J, editors. TeLindes operative gynecology. 8th ed. Philadelphia: Lippincott-Raven; 1997.

    Google Scholar 

  55. Committee on Practice Bulletins—Gynecology, American College of Obstetricians and Gynecologists. ACOG Practice Bulletin No. 84: Prevention of deep vein thrombosis and pulmonary embolism. Obstet Gynecol. 2007;110(2 Pt 1):429–40.

    Google Scholar 

  56. Forrest JB et al. AUA Best Practice Statement for the prevention of deep vein thrombosis in patients undergoing urologic surgery. J Urol. 2009;181(3):1170–7.

    Article  PubMed  Google Scholar 

  57. Davis JD. Prevention, diagnosis, and treatment of venous thromboembolic complications of gynecologic surgery. Am J Obstet Gynecol. 2001;184(4):759–75.

    Article  CAS  PubMed  Google Scholar 

  58. Crane AK, Geller EJ, Matthews CA. Outlet constipation 1 year after robotic sacrocolpopexy with and without concomitant posterior repair. South Med J. 2013;106(7):409–14.

    Article  PubMed  Google Scholar 

  59. McNanley A et al. Bowel function after minimally invasive urogynecologic surgery: a prospective randomized controlled trial. Female Pelvic Med Reconstr Surg. 2012;18(2):82–5.

    Article  PubMed  Google Scholar 

  60. Mueller MG et al. Outcomes in 450 women after minimally invasive abdominal sacrocolpopexy for pelvic organ prolapse. Female Pelvic Med Reconstr Surg. 2016;22(4):267–71.

    Article  PubMed  Google Scholar 

  61. Vahanian SA, Finamore PS, Lazarou G. Delayed small bowel obstruction after robotic-assisted sacrocolpopexy. Female Pelvic Med Reconstr Surg. 2015;21(1):e11–3.

    Article  PubMed  Google Scholar 

  62. de Tayrac R, Sentilhes L. Complications of pelvic organ prolapse surgery and methods of prevention. Int Urogynecol J. 2013;24(11):1859–72.

    Article  PubMed  Google Scholar 

  63. Buechel M, Tarr ME, Walters MD. Vaginal apical pain after sacrocolpopexy in absence of vaginal mesh erosion: a case series. Female Pelvic Med Reconstr Surg. 2016;22(1):e8–10.

    Article  PubMed  Google Scholar 

  64. Good MM et al. Preventing L5-S1 discitis associated with sacrocolpopexy. Obstet Gynecol. 2013;121(2 Pt 1):285–90.

    Article  PubMed  Google Scholar 

  65. White AB et al. Optimal location and orientation of suture placement in abdominal sacrocolpopexy. Obstet Gynecol. 2009;113(5):1098–103.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Urology, NYU Langone Medical Center, 150 East 32 Street, New York, NY, 10016, USA

    Nirit Rosenblum MD

  2. Department of Urology/Obstetrics and Gynecology, NYU Langone Medical Center, 150 East 32nd Street, 2nd Floor, New York, NY, 10016, USA

    Dominique Malacarne MD

Authors
  1. Nirit Rosenblum MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Dominique Malacarne MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Nirit Rosenblum MD .

Editor information

Editors and Affiliations

  1. Glickman Urology & Kidney Institute, Cleveland Clinic, Cleveland, Ohio, USA

    Howard B. Goldman

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

Rosenblum, N., Malacarne, D. (2017). Robotic/Laparoscopic Female Pelvic Reconstructive Surgery. In: Goldman, H. (eds) Complications of Female Incontinence and Pelvic Reconstructive Surgery. Current Clinical Urology. Humana Press, Cham. https://doi.org/10.1007/978-3-319-49855-3_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-49855-3_10

  • Published:

  • Publisher Name: Humana Press, Cham

  • Print ISBN: 978-3-319-49854-6

  • Online ISBN: 978-3-319-49855-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation