The Use of Robotic Technology in Female Pelvic Floor Reconstruction

This text is designed to present a comprehensive and state-of the-art approach to robotic female pelvic reconstructive surgery. Written by experts in both urology and urogynecology, each of these sections address patient selection, pre-operative considerations, surgical technique, and management of intra and post operative complications. Furthermore, each chapter includes the most current evidence in the literature that supports specific techniques. Extensive illustrations make this an interactive text.
Emphasis is placed on sacrocolpopexy, the mostly commonly performed robotic procedure performed in female pelvic medicine. The set up of this operation, surgical technique, and tips and tricks are discussed. In addition, the management of the uterus is also be addressed in detail, including supracervical and total hysterectomy, as well as uterine-sparing techniques. The appropriate preoperative evaluation, including decisions to be made in addressing concomitant surgical conditions such as stress urinary incontinence, is addressed so that the reader can provide comprehensive management for all surgical pelvic floor disorders. Other reconstructive procedures covered include controversial topics such as power morcellation of the uterus and placement of vaginal mesh. The text will also include elements that pertain to male and female patients, such as ureteral reimplantation and sigmoid resection.
The Use of Robotic Technology in Female Pelvic Floor Reconstruction will be invaluable to both urologists and gynecologists in the field.

Provides a state-of the-art approach to robotic female pelvic reconstructive surgery Written by experts in both urology and urogynecology Includes extensive illustrations Includes supplementary material: sn.pub/extras

Autorentext
.Jennifer Anger, MD, MPH
Associate Professor of Urology
Associate Director of Urological Research
Urologic Reconstruction, Urodynamics, and Female Urology
Cedars-Sinai Medical Center
Beverly Hills, California;
Department of Surgery, Division of Urology
Adjunct Assistant Professor of Urology
University of California at Los Angeles
Los Angeles, California

Karyn S. Eilber, MD

Department of Surgery, Division of Urology

Cedars-Sinai Medical Center

Beverly Hills, California

Inhalt
Introduction.- Patient Selection, Risks, and Alternative Surgical Strategies.- Selection of Concomitant Vaginal Procedures.- Concomitant Management of Occult and Symptomatic Stress Urinary Incontinence.- Set-up for Robotic Sacrocolpopexy.- Steps of Robotic-Assisted Sacrocolpopexy.- Robotic-Assisted Hysterectomy with Abdominal Sacrocolpopexy.- The Role of Power Morcellation and Controversies.- Sacrohysteropexy.- Additional Gynecological Indications for Robotic-Assisted Surgery.- Robotic Surgical Management of Combined Vaginal and Rectal Prolapse.- Enterocele.- Robotic-Assisted Vesicovaginal Fistula Repair.- Robotic-Assisted Ureteral Reimplantation.- Complications of Robotic Urologic Surgery.