Identification of the pelvic ureter location is crucial during robotic-assisted sacral colpopexy procedures to avoid iatrogenic injury. In this case study, StimSite™ technology (Allotrope Medical;Houston, TX)...Identification of the pelvic ureter location is crucial during robotic-assisted sacral colpopexy procedures to avoid iatrogenic injury. In this case study, StimSite™ technology (Allotrope Medical;Houston, TX) was used to assist with ureter identification. StimSite is a novel, minimally invasive surgical device designed to facilitate ureter identification by delivering on-demand mild electrical impulses to stimulate visible ureteral peristalsis. Visualization of the ureter can help prevent inadvertent injury which can cause significant patient morbidity, and in some cases mortality. The use of StimSite permitted ureter mapping along the pelvic sidewall and assisted with creating the proper peritoneal dissection for synthetic mesh placement. StimSite provides a minimally invasive, time-conscious option for real-time ureter identification during robotic-assisted sacral colpopexy procedures.展开更多
Sacral colpopexy,a surgical treatment for middle compartment defects,connects the uterus or the top of the vagina with the sacral anterior longitudinal ligament by bridging grafts.It is currently the recognized gold s...Sacral colpopexy,a surgical treatment for middle compartment defects,connects the uterus or the top of the vagina with the sacral anterior longitudinal ligament by bridging grafts.It is currently the recognized gold standard of prolapse surgery, with a long-term success rate of 74-98%.It is suitable for patients with uterine prolapse or Stage Ⅱ-ⅣV vaginal vault prolapse and recurrence after the operation, particularly for younger patients who are sexually active.In the present article,we analyzed the clinical and follow-up data of 204 patients (mean age:59.7 ± 8.8 years,range:40-75 years) who underwent laparoscopic sacral colpopexy (LSC) treatment for pelvic organ prolapse (POP) in the Second Hospital of Shandong University from January 2012 to June 2015.展开更多
文摘Identification of the pelvic ureter location is crucial during robotic-assisted sacral colpopexy procedures to avoid iatrogenic injury. In this case study, StimSite™ technology (Allotrope Medical;Houston, TX) was used to assist with ureter identification. StimSite is a novel, minimally invasive surgical device designed to facilitate ureter identification by delivering on-demand mild electrical impulses to stimulate visible ureteral peristalsis. Visualization of the ureter can help prevent inadvertent injury which can cause significant patient morbidity, and in some cases mortality. The use of StimSite permitted ureter mapping along the pelvic sidewall and assisted with creating the proper peritoneal dissection for synthetic mesh placement. StimSite provides a minimally invasive, time-conscious option for real-time ureter identification during robotic-assisted sacral colpopexy procedures.
文摘Sacral colpopexy,a surgical treatment for middle compartment defects,connects the uterus or the top of the vagina with the sacral anterior longitudinal ligament by bridging grafts.It is currently the recognized gold standard of prolapse surgery, with a long-term success rate of 74-98%.It is suitable for patients with uterine prolapse or Stage Ⅱ-ⅣV vaginal vault prolapse and recurrence after the operation, particularly for younger patients who are sexually active.In the present article,we analyzed the clinical and follow-up data of 204 patients (mean age:59.7 ± 8.8 years,range:40-75 years) who underwent laparoscopic sacral colpopexy (LSC) treatment for pelvic organ prolapse (POP) in the Second Hospital of Shandong University from January 2012 to June 2015.