E-Posters-10087

10087_Harmanli

Pdf Summary

This study examined the short-term outcomes of robotic sacrocolpopexy with and without cervical preservation. Total hysterectomy during sacrocolpopexy has been associated with mesh exposure, while supracervical hysterectomy is considered to reduce this risk. The study reviewed medical records of patients who underwent robotic sacrocolpopexy with concomitant hysterectomy at Baystate Medical Center from 2010 to 2013. Complications were rare, with a maximum rate of 2.3% observed for mesh erosion, dyspareunia, pulmonary and vascular complications, and infection. Mesh erosion was more common in patients who had supracervical hysterectomy (LSH) compared to total hysterectomy (TLH). There was no significant difference in postoperative pelvic organ prolapse quantification (POP-Q) values between LSH and TLH. The study suggests that LSH is non-inferior to TLH in terms of outcomes, but larger studies with longer term outcomes are needed. The baseline characteristics, perioperative parameters, and adverse events were evaluated for both LSH and TLH groups. The length of hospital stay was statistically longer, but not clinically significant, for TLH compared to LSH. The operating time was significantly longer for LSH compared to TLH. There was no significant difference in change in hemoglobin levels between LSH and TLH. The study concluded that both LSH and TLH have favorable outcomes in robotic sacrocolpopexy and that LSH may be a viable option to reduce the risk of mesh exposure. However, further research is needed to evaluate long-term outcomes and establish the superiority of one technique over the other.

Keywords

robotic sacrocolpopexy

cervical preservation

total hysterectomy

mesh exposure

supracervical hysterectomy

complications

LSH

TLH

hospital stay

long-term outcomes