Set-Up for robotic sacrocolpopexy

Abstract

Patient selection and positioning, precise operative entry, operating room and equipment considerations, and a cohesive surgical team are pivotal to successful robotic sacrocolpopexy. Patients must provide informed consent and be medically able to tolerate pneumoperitoneum and steep Trendelenburg. Because steep Trendelenburg is critical to procedure completion, a variety of positioning mechanisms exist to secure the patient appropriately on the operating table. Abdominal port placement and docking is an essential component of performing a robotic sacrocolpopexy and varies depending on which robotic platform is used. Additionally, prior to commencing the surgical procedure, a survey should be performed to ensure that all necessary equipment and operating room staff are present and available.