Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 문혜성 | * |
dc.contributor.author | 정경아 | * |
dc.date.accessioned | 2021-06-07T16:31:41Z | - |
dc.date.available | 2021-06-07T16:31:41Z | - |
dc.date.issued | 2021 | * |
dc.identifier.issn | 1028-4559 | * |
dc.identifier.other | OAK-29326 | * |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/257664 | - |
dc.description.abstract | Objective: The gold standard procedure for treating patients with apical pelvic organ prolapse (POP) is sacrocolpopexy. However, no report comparing the two types of single-incision robotic sacrocolpopexy, namely, single-site robotic sacrocolpopexy (SS-RSC) and single-port robotic sacrocolpopexy (SP-RSC) exists. Therefore, we compared the safety and effectiveness of SS-RSC and SP-RSC. Materials and methods: In this study, 48 patients who underwent single-incision RSC, 40 nonconsecutive patients who underwent SS-RSC, and 8 consecutive patients who underwent SP-RSC for symptomatic POP quantification stage III-IV and were eligible for the 1-year follow-up (FU) were included. We compared the surgical time and operative outcomes of SS-RSC and SP-RSC. We also compared the data of the initial 8 cases in each group. Results: The mean patient age was 59.2 +/- 11.0 years and 66.1 +/- 8.0 years in the SS-RSC (n = 40) and SPRSC (n = 8) groups, respectively. The mean operative time (OT) and console time were comparable between the SS-RSC and SP-RSC groups (135.3 +/- 31.6 min vs 141.8 +/- 23.5 min; 94.6 +/- 32.2 min vs 89 +/- 9.5 min, respectively). The docking time and cervix suturing time were short in the SP-RSC group (P < 0.05). However, in the analysis of the initial 8 cases in each group, all surgical times except the cervix suturing time were shorter in the SP-RSC group (P < 0.05). Three cases had intraoperative bladder injury (two [5.0%] in the SS-RSC and one [12.5%] in the SP-RSC group). Two cases (5.0%) had umbilical incisional hernia in the SS-RSC group. Two cases had vaginal mesh erosion on the posterior vaginal wall, with 1 case in each group. One case (2.5%) experienced a recurrence of POP; an anterior compartment POP-Q stage 2 following SS-RSC at the 4-week FU. Conclusion: Single-incision RSC, both SS-RSC and SP-RSC, is a feasible and effective surgical option for treating symptomatic apical POP with an aesthetic finish. (c) 2021 Taiwan Association of Obstetrics & Gynecology. Publishing services by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). | * |
dc.language | English | * |
dc.publisher | ELSEVIER TAIWAN | * |
dc.subject | Pelvic organ prolapse | * |
dc.subject | Postmenopausal women | * |
dc.subject | Robotic surgery | * |
dc.subject | Sacrocolpopexy | * |
dc.subject | Single incision | * |
dc.title | First report comparing the two types of single-incision robotic sacrocolpopexy: Single site using the da Vinci Xi or Si system and single port using the da Vinci SP system | * |
dc.type | Article | * |
dc.relation.issue | 1 | * |
dc.relation.volume | 60 | * |
dc.relation.index | SCIE | * |
dc.relation.index | SCOPUS | * |
dc.relation.startpage | 60 | * |
dc.relation.lastpage | 65 | * |
dc.relation.journaltitle | TAIWANESE JOURNAL OF OBSTETRICS & GYNECOLOGY | * |
dc.identifier.wosid | WOS:000631884400012 | * |
dc.author.google | Lee, Sa Ra | * |
dc.author.google | Roh, A-mi | * |
dc.author.google | Jeong, Kyungah | * |
dc.author.google | Kim, Sung Hoon | * |
dc.author.google | Chae, Hee Dong | * |
dc.author.google | Moon, Hye-Sung | * |
dc.contributor.scopusid | 문혜성(14319143700) | * |
dc.contributor.scopusid | 정경아(13309069700) | * |
dc.date.modifydate | 20240415132638 | * |