Robot-assisted Laparoscopic
Colposacropexy and Cervicosacropexy with the da Vinci® Surgical System
Catherine A. Matthews, MD
Associate Professor
University of North Carolina, Chapel Hill
Chapel Hill, NC
Colposacropexy is the gold standard operation for repair of apical vaginal support defects. Although it is feasible to perform this operation using conventional laparoscopic techniques, a limited number of surgeons have mastered the advanced minimally invasive skills that are required. Introduction of the da Vinci® robotic system (Intuitive Surgical, Sunnyvale, CA) with instruments that have improved dexterity and precision and a camera system with three-dimensional imaging presents an opportunity for more surgeons treating women with pelvic organ prolapse to perform the procedure laparoscopically. This chapter outlines a technique that is exactly modeled after the open procedure for completion of a robotic-assisted colpo- and cervicosacropexy using the da Vinci® surgical system.