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Robot-assisted, laparoscopic surgery for vaginal vault prolapse found to be effective
July 24, 2006Rochester, Minn. - Mayo Clinic researchers have found that laparoscopic surgery assisted by a surgical robot to fix vaginal vault prolapse, a collapse of the vagina that can occur after a hysterectomy, is an effective option to the traditional, open surgical repair when measured at least a year after the surgery. Findings are published in the August issue of Journal of Urology.
In the United States, one out of nine women will undergo hysterectomy, a surgery to remove all or parts of the uterus. Ten percent of these will develop vaginal vault prolapse.
"After hysterectomy, there's a lack of support for the vagina as you remove the ligaments, and the vagina can fall down," says Daniel Elliott, M.D., Mayo Clinic urologist and lead study investigator. "To imagine this, it helps to think of the vagina like a tube sock that's inverted out. For some women, the vagina can come completely out - like three to five inches.
"This problem can be devastating both physically and socially," he says. "Sometimes the patients can hardly walk."
The new laparoscopic surgery has advantages over the traditional repair, open sacrocolpopexy, according to Dr. Elliott. These include:
- Less overall recovery time
- An overnight hospital stay only, rather than two to four days
- Potentially lower risk of post-surgery bleeding
- Markedly less pain, where 50 percent of patients go home taking only over-the-counter pain relievers
- Women who may not tolerate the open procedure due to health issues may be candidates for this surgery
"My prediction is, with enough time and training, the robot-assisted, laparoscopic surgery will be the main procedure done in the future for women with major vaginal vault prolapse,\\\
Mayo Clinic
"This problem can be devastating both physically and socially," he says. "Sometimes the patients can hardly walk."
The new laparoscopic surgery has advantages over the traditional repair, open sacrocolpopexy, according to Dr. Elliott. These include:
- Less overall recovery time
- An overnight hospital stay only, rather than two to four days
- Potentially lower risk of post-surgery bleeding
- Markedly less pain, where 50 percent of patients go home taking only over-the-counter pain relievers
- Women who may not tolerate the open procedure due to health issues may be candidates for this surgery
"My prediction is, with enough time and training, the robot-assisted, laparoscopic surgery will be the main procedure done in the future for women with major vaginal vault prolapse,\\\
Mayo Clinic
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Lap-band weight-loss surgery can reverse metabolic syndrome in obese teens
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Robot improves suture proficiency more rapidly for surgeons inexperienced in laparoscopic techniques
New research published in the April issue of the Journal of the American College of Surgeons suggests that, among surgeons inexperienced in laparoscopic techniques, closing incisions using robotic-assisted laparoscopic surgery (RALS) requires less time to learn and results in improved outcomes compared with suturing done via traditional, "open" surgery or with freehand laparoscopy.
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Helping Hand of Hybrid Surgery Benefits Colorectal Patients
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Freezing kidney cancer: Hot treatment should be new gold standard for destroying small tumors
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Gallbladder Revmoal Through Vagina Offers Minimally Invasive Alternative
Physicians at Northwestern Memorial Hospital successfully removed a patient's gallbladder through the vagina, making them the first in the Midwest and the third in the country to perform the innovative procedure.
Pioneering surgical technique in Spain enables extirpation of benign tumours of the pancreas - preserving the organ's function to the maximum
A laparoscopic surgical technique enables extirpation of pancreatic tumours that are benign or of scant, highly localised malignant potential and that preserves the function of the organ to the maximum, at the same time significantly reducing the number of possible complications and the period of hospitalisation.
Treating appendicitis by laparoscopic surgery may not be worth the cost
New research published in the February issue of the Journal of the American College of Surgeons suggests that a traditional, "open" appendectomy may be preferable to a less-invasive laparoscopic appendectomy for the majority of patients with acute appendicitis, contrary to recent trends.
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