da Vinci pelvic prolapse surgery (sacrocolpopexy)

Sacrocolpopexy can also be performed after a hysterectomy and can provide long-term support for the vagina.1If your symptoms from pelvic prolapse are severe and affect your lifestyle, your doctor may recommend surgery. Prolapse surgery is also known as sacrocolpopexy. During the procedure, mesh is used to hold the affected pelvic organ(s) in their correct natural position. The procedure is not the same was what occurs during transvaginal placement of mesh.

Why da Vinci® surgery

If you are facing pelvic prolapse surgery, you may be a candidate for da VinciSacrocolpopexy. da Vinci surgeons make just a few small incisions instead of a large open incision - similar to traditional laparoscopy. The da Vinci System features a magnified 3D high-definition vision system and special wristed instruments that bend and rotate far greater than the human wrist. As a result,da Vinci enables your doctor to operate with enhanced vision, precision, dexterity and control.

As a result of da Vinci technology, da Vinci Sacrocolpopexy offers the following potential benefits when compared to traditional open surgery:

• Less blood loss²
• Shorter hospital stay¹
• Small incisions for minimal scarring

As a result of the da Vinci technology, da Vinci Sacrocolpopexy offers the following potential benefits compared to traditional laparoscopy:

• Shorter operation³
• Less blood loss³
• Shorter duration with catheter³

Additional potential benefits of da Vinci Sacrocolpopexy include:

• Low rate of complications^4,5
• High sexual function⁴
• Improved urinary, bowel, and pelvic symptoms⁴

State-of-the-art da Vinci uses the latest in surgical and robotics technologies and is beneficial for performing complex surgery. Your surgeon is 100% in control of the da Vinci System, which translates his or her hand movements into smaller, more precise movements of tiny instruments inside your body. da Vinci – taking surgery beyond the limits of the human hand.

Physicians have used the da Vinci System successfully worldwide in approximately 1.5 million various surgical procedures to date. da Vinci is changing the experience of surgery for people around the world.

Risks & considerations related to sacrocolpopexy & da Vinci surgery

Potential risks of any sacrocolpopexy procedure include:

• Separation of the vaginal incision
• Blocked lung artery
• Urinary tract injury

In addition to these risks, there are risks related to minimally invasive surgery, including da Vinci Sacrocolpopexy, such as hernia (bulging tissue at incision site).³

1. Geller EJ, Siddiqui NY, Wu JM, Visco AG. Short-term outcomes of robotic sacrocolpopexy compared with abdominal sacrocolpopexy. Obstetrics & Gynecology. 2008;112:1201–6.
2. Siddiqui NY, Geller EJ, Visco AG. Symptomatic and anatomic 1-year outcomes after robotic and abdominal sacrocolpopexy. Am J Obstet Gynecol. 2012 May;206(5):435.e1-5. Epub 2012 Feb 1.
3. Seror J, Yates DR, Seringe E, Vaessen C, Bitker MO, Chartier-Kastler E, Rouprêt M. Prospective comparison of short-term functional outcomes obtained after pure laparoscopic and robot-assisted laparoscopic sacrocolpopexy. World J Urol. 2012 Jun;30(3):393-8. Epub 2011 Aug 20.
4. Geller EJ, Parnell BA, Dunivan GC. Pelvic floor function before and after robotic sacrocolpopexy: one-year outcomes. J Minim Invasive Gynecol. 2011 May-Jun;18(3):322-7. Epub 2011 Apr 1.
5. Elliott DS, Krambeck AE, Chow GK. Long-term results of robotic assisted laparoscopic sacrocolpopexy for the treatment of high grade vaginal vault prolapse. J Urol. 2006 Aug;176(2):655-9.

All surgery presents risk, including da Vinci Surgery. Results, including cosmetic results, may vary. Serious complications may occur may occur in any surgery, up to and including death. Examples of serious and life-threatening complications, which may require hospitalization, include injury to tissues or organs; bleeding; infection, and internal scarring that can cause long-lasting dysfunction or pain. Temporary pain or nerve injury has been linked to the inverted position often used during abdominal and pelvic surgery. Patients should understand that risks of surgery include potential for human error and potential for equipment failure. Risk specific to minimally invasive surgery may include: a longer operative time; the need to convert the procedure to an open approach; or the need for additional or larger incision sites. Converting the procedure to open could mean a longer operative time, long time under anesthesia, and could lead to increased complications. Research suggests that there may be an increased risk of incision-site hernia with single-incision surgery. Patients who bleed easily, have abnormal blood clotting, are pregnant or morbidly obese are typically not candidates for minimally invasive surgery, including da Vinci Surgery. Other surgical approaches are available. Patients should review the risks associated with all surgical approaches. They should talk to their doctors about their surgical experience and to decide if da Vinci is right for them. For more complete information on surgical risks, safety and indications for use, please refer to http://www.davincisurgery.com/da-vinci-surgery/safety-information.php.

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