Guan Xiaoming, Ma Yingchun, Gisseman Jordan, Kleithermes Christopher, Liu Juan
Baylor College of Medicine, Houston, Texas.
Shangdong Province Qianfoshan Hospital, Shangdong, China.
J Minim Invasive Gynecol. 2017 Jan 1;24(1):12-13. doi: 10.1016/j.jmig.2016.06.012. Epub 2016 Jun 23.
To demonstrate the tips and tricks of a simpler technique for single-site sacrocolpopexy using barbed suture anchoring and retroperitoneal tunneling to make the procedure more efficient and reproducible.
Step-by-step description of surgical tutorial using a narrated video (Canadian Task Force classification III).
Academic tertiary care hospital.
Patient with Stage III uterine prolapse.
Sacrocolpopexy is increasing utilized since the FDA warning about complications of vaginal mesh surgery. It is the gold standard for repair of apical prolapse. However, there is great variation in the sacrocolpopexy procedure techniques and they have not been standardized. Traditional single-site laparoscopic sacrocolpopexy is very challenging as the procedure time is long and suturing is difficult. The advantages of suturing with wristed needle drivers in robotic single-site surgery simplify this complex procedure. Furthermore, using barbed suture anchoring and peritoneal tunneling technique potentially decreases the surgeon's learning curve and makes the procedure reproducible. In this video, we demonstrate a supracervial hysterectomy with a stepwise explanation of the correct technique for performing a robotic single incision sacrocolpopexy.
Sacrocolpopexy is increasing used since the US Food and Drug Administration warning about complications of vaginal mesh surgery. It is the gold standard for repair of apical prolapse. However, a great variation exists in the sacrocolpopexy procedure techniques that need to be standardized. Traditional single-site laparoscopic sacrocolpopexy is very challenging because the procedure time is long and suturing is difficult. The advantages of suturing with wristed needle drivers in robotic single-site surgery simplify this complex procedure. Furthermore, using the barbed suture anchoring and peritoneal tunneling technique potentially decreases the surgeon's learning curve and makes the procedure reproducible. In this video, we demonstrate a supracervical hysterectomy with a stepwise explaation of the correct technique for performing a robotic single-incision sacrocolpopexy.
The possibility of using the barbed suture and peritoneal tunneling technique with wristed needle drivers in robotic single-site sacrocolpopexy offers the possibility of an effective, safe, reproducible, and cosmetic surgical option.
展示一种使用倒刺缝线固定和腹膜后隧道技术进行单部位骶骨阴道固定术的更简单技术的技巧和窍门，以使该手术更高效且可重复。
使用旁白视频对手术教程进行逐步描述（加拿大工作组分类III级）。
学术性三级护理医院。
III期子宫脱垂患者。
自美国食品药品监督管理局（FDA）对阴道网片手术并发症发出警告以来，骶骨阴道固定术的应用日益增加。它是修复顶端脱垂的金标准。然而，骶骨阴道固定术的手术技术差异很大，尚未标准化。传统的单部位腹腔镜骶骨阴道固定术极具挑战性，因为手术时间长且缝合困难。机器人单部位手术中使用腕式持针器缝合的优点简化了这一复杂手术。此外，使用倒刺缝线固定和腹膜隧道技术可能会降低外科医生的学习曲线，并使手术可重复。在本视频中，我们展示了次全子宫切除术，并逐步解释了进行机器人单切口骶骨阴道固定术的正确技术。
自美国食品药品监督管理局对阴道网片手术并发症发出警告以来，骶骨阴道固定术的应用日益增加。它是修复顶端脱垂的金标准。然而，骶骨阴道固定术的手术技术存在很大差异，需要标准化。传统的单部位腹腔镜骶骨阴道固定术非常具有挑战性，因为手术时间长且缝合困难。机器人单部位手术中使用腕式持针器缝合的优点简化了这一复杂手术。此外，使用倒刺缝线固定和腹膜隧道技术可能会降低外科医生的学习曲线，并使手术可重复。在本视频中，我们展示了次全子宫切除术，并逐步解释了进行机器人单切口骶骨阴道固定术的正确技术。
在机器人单部位骶骨阴道固定术中使用倒刺缝线和腹膜隧道技术以及腕式持针器，提供了一种有效、安全、可重复且美观的手术选择。
