Robotic Surgery For Correcting Prolapse

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Dr_Howard_Goldstein_sqDr_Emily_Saks_sqdr_babak_vakili_sqBy: Dr. Howard Goldstein,
Dr. Babak Vakili and
Dr. Emily Saks

Pelvic organ prolapse refers to dropping of pelvic organs…

such as the bladder, uterus or bowels, through the vagina. It is a very common condition. Approximately 11 percent of all women in the United States undergo surgical correction for prolapse or urinary incontinence. While pelvic organ prolapse is usually not life-threatening, it can interfere with normal life activities by causing a variety of symptoms.

Options for treatment include nonsurgical therapies
such as pelvic floor muscle exercises or placement of a pessary
(a vaginal insert to support the area that has prolapsed).

These low risk treatments are often effective at improving the symptoms of pelvic organ prolapse. However, prolapse is a chronic condition and surgical repair is the only way to fully correct pelvic organ prolapse. There are numerous surgical techniques and approaches that have been developed and performed for pelvic organ prolapse, including vaginal, abdominal and laparoscopic approaches.

A sacrocolpopexy is considered one of the best surgical treatments
for prolapse given its high success rate and durability.

It is traditionally performed through a “bikini cut” incision in the abdomen. During this surgery, a mesh-like graft material is attached to the vagina and then connected to a powerful ligament in order to support the vagina. While considered an effective and durable procedure, the large incision leads to a longer recovery. Laparoscopic sacrocolpopexy (the same procedure done though several small incisions using a camera and small tools) combines the advantages of a traditional sacrocolpopexy with the decreased complications and improved aesthetics of laparoscopic surgery.

The da Vinci robotic surgical system allows a surgeon to perform complicated cases, like a sacrocolpopexy, using minimally invasive laparoscopic techniques.

The da Vinci is a computer-controlled device that allows the surgeon a tremendous degree of precision and instrument control. The term “robot” is somewhat misleading as it cannot operate on its own and the procedure is performed entirely by the surgeon. The use of the robotic system allows for improved 3D visualization and magnification of the operative field, when compared to conventional laparoscopy. The da Vinci also uses enhanced surgical tools that allow for faster movement and more precise surgeries. Results from studies of robotic assisted laparoscopic sacrocolpopexy have shown great success with less blood loss, less pain and a shorter length of stay in the hospital. This translates to a potentially faster recovery without sacrificing success.

The da Vinci robotic surgical system is a state of the art,
cutting-edge technology that is revolutionizing surgery in many fields.

At the Christiana Care Center for Urogynecology and Pelvic Surgery, you will meet three surgeons highly skilled in the most advanced surgical techniques, including use of the da Vinci system. We have been using the da Vinci system since 2005 and have performed hundreds of cases. Please come in for an evaluation and discuss which of these therapies is right for you. We are the only fellowship-trained physicians in Delaware who specifically deal with pelvic organ prolapse.

Emily K. Saks, M.D., MSCE, is a urogynecologist with the Christiana Care Center for Urogynecology and Pelvic Surgery. Dr. Saks completed a residency in Obstetrics and Gynecology at Pennsylvania Hospital in Philadelphia and has completed a fellowship in Female Pelvic Medicine and Reconstructive Surgery at the Hospital of the University of Pennsylvania.

Babak Vakili, M.D. is the director of the Center for Urogynecology and Pelvic Surgery. Dr. Vakili is a fellow of the American College of Obstetrics and Gynecology. He completed a fellowship in Female Pelvic Medicine and Reconstructive Surgery at the Louisiana State University Health Science Center in New Orleans, LA.

Howard B. Goldstein, D.O., MPH, is a fellow of the American College of Obstetrics and Gynecology. He completed a fellowship in Female Pelvic Medicine and Reconstructive Surgery at Cooper University Hospital in Camden, N.J. He currently serves as the Director of Research and Education for the Division of Urogynecology.

The Christiana Care Center for Urogynecology and Pelvic Surgery is located in Suite 1208 of Medical Arts Pavilion 2, on the campus of Christiana Hospital in Newark. Appointments are also available at the Christiana Care Center for Women’s Health, 3706 Kennett Pike in Greenville. To schedule an appontment, call 302-623-4055.


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