Robot-assisted laparoscopic colposacropexy and cervicosacropexy with the da Vinci® surgical system.

Colposacropexy is the gold standard operation for repair of apical vaginal support defects. Although it is feasible to perform this operation using conventional laparoscopic techniques, a limited number of surgeons have mastered the advanced minimally invasive skills that are required. Introduction of the da Vinci® robotic system (Intuitive Surgical, Sunnyvale, CA) with instruments that have improved dexterity and precision and a camera system with three-dimensional imaging presents an opportunity for more surgeons treating women with pelvic organ prolapse to perform the procedure laparoscopically. This chapter outlines a technique that is exactly modeled after the open procedure for completion of a robotic-assisted colpo- and cervicosacropexy using the da Vinci® surgical system.