Single port robotic assisted sacrocolpopexy: technique and tips

Introduction and hypothesis: Sacrocolpopexy is the most durable surgical procedure for the treatment of symptomatic pelvic organ prolapse (Maher et al. Cochrane Database Syst Rev. 2013;(4):CD004014). The single port robotic platform has recently been approved in the USA for use in urological surgery. Innovation in robotic surgery continues to evolve, minimizing abdominal wall trauma while improving instrumentation and technical feasibility. Identifying the appropriate procedures to utilize novel technology is important to understand the role of new surgical tools. Sacrocolpopexy procedure, when performed with supracervical hysterectomy, requires extension of an incision for specimen retrieval, making it ideal for single port surgery. The technique and adaptation to new instrumentation is demonstrated in this video. Method: A surgical demonstration of single port robotic sacrocolpopexy is shown. Results: Sacrocolpopexy was successfully completed using the single port robotic platform. Conclusions: Sacrocolpopexy is technically feasible with use of the single port robotic platform.