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Minimally invasive surgery in pelvic floor repair

Zwain, Omar; Aoun, Joelle; Eisenstein, David

Current Opinion in Obstetrics and Gynecology: August 2017 - Volume 29 - Issue 4 - p 276–281
doi: 10.1097/GCO.0000000000000377
MINIMALLY INVASIVE GYNECOLOGIC PROCEDURES: Edited by Matthew T. Siedhoff
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Purpose of review To review the use and efficacy of minimally invasive surgery in pelvic organ prolapse (POP) repair. This review summarizes surgical options for management of POP with special emphasis on minimally invasive surgical approach and discusses the recent experience and feasibility of integrating robot-assisted technology.

Recent findings Minimally invasive approaches have equal efficacy and less morbidity than laparotomy for POP repair, particularly apical prolapse. Robotics may facilitate the rate of minimally invasive surgery for POP repair with greater cost and as yet no proven superiority for conventional laparoscopy.

Summary Minimally invasive surgery is the preferred approach to POP repair. Conventional laparoscopic or robotic sacral colpopexy is recommended for apical defect and procidentia.

Supplemental Digital Content is available in the text

Division of Minimally Invasive Gynecologic Surgery, Department of Women's Health, Henry Ford Health System, Detroit, Michigan, USA

Correspondence to David Eisenstein, MD, Division of Minimally Invasive Gynecologic Surgery, Department of Women's Health, Henry Ford Health System, Detroit, Michigan, USA. Tel: +1 248 996 4672; fax: +1 248 352 0094; e-mail: deisens1@hfhs.org

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