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Robotic sacrocolpopexy.

This is the third installment of the Master Class in Gynecologic Surgery dedicated to robotic surgery.

Whether the procedure is called robotic sacrocolpopexy or robotic-assisted laparoscopic sacrocolpopexy, Dr. Anthony Visco's excellent description will help the reader understand how the robot and the laparoscope can be used to modify the standard treatment for vaginal vault prolapse--the abdominal sacrocolpopexy--into a minimally invasive gynecologic procedure that can be incorporated into one's practice.

As Dr. Visco points out, the robotic procedure involves an obligatory learning curve and a need for practiced, efficient teamwork. However, as the surgeon and staff gain experience, robotic sacrocolpopexy can lead to outcomes similar to those of abdominal sacrocolpopexy, but with less blood loss and quicker recovery time.

Dr. Visco is director of the division of urogynecology and reconstructive pelvic surgery; director of gynecologic robotic surgery; and vice chair of the department of obstetrics and gynecology at Duke University Medical Center in Durham, N.C. Dr. Visco has authored or coau-thored nearly 50 peer-reviewed articles on, or related to, urogynecology.

In 2007, Dr. Visco performed a live robotic sacrocolpopexy in Madrid for an international conference on pelvic floor disorders, and a second live robotic sacrocolpopexy for the AAGL's 2007 annual meeting.

DR. MILLER is a clinical associate professor, University of Chicago and University of Illinois at Chicago, and president of the AAGL. He is a reproductive endocrinologist in private practice in Schaumburg, Ill., and Naperville, Ill, and the medical editor of this column.


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Title Annotation:MASTER CLASS
Author:Miller, Charles E.
Publication:OB GYN News
Date:Oct 1, 2008
Previous Article:Biocidals in home products may spur resistance.
Next Article:Advantages of open sacrocolpopexy with decreased morbidity.

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