Abstract：
OBJECTIVE: We report the case of a 49-year-old woman who came to our institution complaining of bowel constipation and bladder outlet obstruction due to the recurrence of a pelvic prolapse after anterior abdominal wall hysteropexy performed 1 year before.
METHODS: The patient was counseled to undergo robot-assisted re-do sacrohysteropexy performed using the da Vinci Xi surgical system. The step-by-step technique used for the herein reported clinical case of robot-assisted re-do sacrohysteropexy is shown in the accompanying video.
RESULTS: Operative time was 120 min. There was virtually no blood loss. No intraoperative complications occurred. Use of analgesic drugs was stopped on the 1st postoperative day. The patient was mobilized on postoperative day 2. The catheter was removed on the 3rd postoperative day, and the patient got back to spontaneous micturition with no post-voiding residual. On the same day, the patient was discharged. At 3-month follow-up, the patient was well with neither bowel nor bladder symptoms. Uroflowmetry was normal.
CONCLUSIONS: We demonstrated the feasibility of robot-assisted re-do sacrohysteropexy. In the surgical technique herein reported, we showed how we were able to partially re-use a previously implanted mesh together with a new one to ensure fixation of a multi-compartment pelvic organ prolapse.
METHODS: The patient was counseled to undergo robot-assisted re-do sacrohysteropexy performed using the da Vinci Xi surgical system. The step-by-step technique used for the herein reported clinical case of robot-assisted re-do sacrohysteropexy is shown in the accompanying video.
RESULTS: Operative time was 120 min. There was virtually no blood loss. No intraoperative complications occurred. Use of analgesic drugs was stopped on the 1st postoperative day. The patient was mobilized on postoperative day 2. The catheter was removed on the 3rd postoperative day, and the patient got back to spontaneous micturition with no post-voiding residual. On the same day, the patient was discharged. At 3-month follow-up, the patient was well with neither bowel nor bladder symptoms. Uroflowmetry was normal.
CONCLUSIONS: We demonstrated the feasibility of robot-assisted re-do sacrohysteropexy. In the surgical technique herein reported, we showed how we were able to partially re-use a previously implanted mesh together with a new one to ensure fixation of a multi-compartment pelvic organ prolapse.
摘要：
目的：我们报道了一例49岁的女性患者，该患者在1年前进行前腹壁子宫切除术后，因盆腔脱垂复发而出现肠便秘和膀胱出口梗阻。
方法：建议患者接受使用达芬奇Xi手术系统进行的机器人辅助的再次膀胱切除术。在随附的视频中示出了用于本文报告的机器人辅助的重新进行骶宫内固定术的临床病例的逐步技术。
结果：手术时间为120分钟。几乎没有失血。术中无并发症发生。术后第1天停止使用镇痛药物。患者在术后第2天动员。术后第3天拔除导管,患者恢复自发排尿，没有排尿后残留。在同一天,病人出院了。在3个月的随访中，患者没有肠道和膀胱症状。尿流图正常。
结论：我们证明了机器人辅助再次行骶宫内固定术的可行性。在本文报道的手术技术中，我们展示了如何将之前植入的网片与新网片一起部分重复使用,以确保多室盆腔器官脱垂的固定.
方法：建议患者接受使用达芬奇Xi手术系统进行的机器人辅助的再次膀胱切除术。在随附的视频中示出了用于本文报告的机器人辅助的重新进行骶宫内固定术的临床病例的逐步技术。
结果：手术时间为120分钟。几乎没有失血。术中无并发症发生。术后第1天停止使用镇痛药物。患者在术后第2天动员。术后第3天拔除导管,患者恢复自发排尿，没有排尿后残留。在同一天,病人出院了。在3个月的随访中，患者没有肠道和膀胱症状。尿流图正常。
结论：我们证明了机器人辅助再次行骶宫内固定术的可行性。在本文报道的手术技术中，我们展示了如何将之前植入的网片与新网片一起部分重复使用,以确保多室盆腔器官脱垂的固定.
