Chu Christine M, Agrawal Anubhav, Mazloomdoost Donna, Barenberg Benjamin, Dune Tanaka J, Pilkinton Marjorie L, Chan Robert C, Weber Lebrun Emily E, Arya Lily A
Division of Urogynecology, Department of Obstetrics & Gynecology, University of Louisville, Louisville, KY.
Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, TriHealth/Good Samaritan Hospital, Cincinnati, OH.
Female Pelvic Med Reconstr Surg. 2019 Jul/Aug;25(4):279-283. doi: 10.1097/SPV.0000000000000556.
Robotic sacrocolpopexy for pelvic organ prolapse (POP) has increased, along with marketing and media coverage. It is unknown whether this exposure influences patients' opinions on POP repair. This study describes the preference for and knowledge of robotic surgery in women with POP.
We performed a cross-sectional survey of new patients presenting with POP at 7 academic sites. Subjects had no prior surgical counseling. A self-administered questionnaire was designed to investigate robotic surgery knowledge, preference, and exposure. Subjects expressed their preferred route of POP repair (robotic, vaginal, abdominal, laparoscopic, or no preference). Knowledge was determined by the number of correctly answered questions (range, 0-7). Perception of robotic surgery was compared with other surgical routes.
One hundred seventy-six subjects were included. Most had no surgical preference (66.3%), whereas 27.3% preferred nonrobotic and 6.4% preferred robotic routes. The mean knowledge score was 2.3 (SD, 1.7). Women preferring robotic surgery were more likely to view it as faster than laparoscopic surgery (P < 0.001). These same subjects did not perceive any advantages for robotic surgery related to blood loss, pain, and organ injury (P > 0.05). Most reported no prior exposure to robotic surgery information (56.2%) or advertisements (65.2%). Those with prior exposure most frequently obtained information via the Internet and encountered hospital advertisements.
The majority of women with POP reported no preference for robotic approach to POP surgery. Knowledge about robotic surgery was low, even among subjects who expressed preference. Comprehensive counseling may help patients make informed decisions even when surgical preferences exist.
随着市场推广和媒体报道，用于盆腔器官脱垂（POP）的机器人骶骨阴道固定术的应用有所增加。尚不清楚这种曝光是否会影响患者对POP修复术的看法。本研究描述了POP女性患者对机器人手术的偏好和了解情况。
我们对7个学术机构中表现为POP的新患者进行了横断面调查。受试者之前未接受过手术咨询。设计了一份自填式问卷，以调查机器人手术知识、偏好和接触情况。受试者表达了他们首选的POP修复途径（机器人手术、阴道手术、腹部手术、腹腔镜手术或无偏好）。知识水平通过正确回答问题的数量来确定（范围为0至7）。将对机器人手术的认知与其他手术途径进行比较。
纳入了176名受试者。大多数人没有手术偏好（66.3%），而27.3%的人更喜欢非机器人手术途径，6.4%的人更喜欢机器人手术途径。平均知识得分是2.3（标准差为1.7）。更喜欢机器人手术的女性更有可能认为它比腹腔镜手术更快（P<0.001）。这些受试者没有察觉到机器人手术在失血、疼痛和器官损伤方面有任何优势（P>0.05）。大多数人报告之前没有接触过机器人手术信息（56.2%）或广告（65.2%）。那些之前接触过的人最常通过互联网获取信息并看到医院广告。
大多数POP女性患者表示对机器人辅助的POP手术方法没有偏好。即使在表达了偏好的受试者中，对机器人手术的了解也很低。全面的咨询可能有助于患者做出明智的决定，即使存在手术偏好。
