Int J Med Robot - Robotic presacral neurectomy - technique and results.

Tópicos

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Resumo

CKGROUND: The feasibility, safety and outcomes of robotic presacral neurectomy were evaluated.METHODS: A retrospective analysis was performed of 33 patients with midline chronic pelvic pain, who underwent robotic presacral neurectomy. Data were collected during the period March 2004-March 2010.RESULTS: All patients underwent robotic presacral neurectomy and additional robotic procedures. Mean operating time for robotic presacral neurectomy was 5.8 (range 4.4-6.9) min. Mean blood loss, including concomitant procedures, was 39 (range 15-150) ml. Most patients were discharged the same day (60%) and mean hospital stay was 0.39 (range 0-2) days. There were no conversions or intra-operative complications. There were two postoperative complications: one pelvic abscess and one Clostridium difficile colitis. Pain improvement was reported by 73% (22/30) of patients.CONCLUSION: Robotic presacral neurectomy is safe and feasible, resulting in improvement of pelvic pain in selected patients.

Resumo Limpo

ckground feasibl safeti outcom robot presacr neurectomi evaluatedmethod retrospect analysi perform patient midlin chronic pelvic pain underw robot presacr neurectomi data collect period march march result patient underw robot presacr neurectomi addit robot procedur mean oper time robot presacr neurectomi rang min mean blood loss includ concomit procedur rang ml patient discharg day mean hospit stay rang day convers intraop complic two postop complic one pelvic abscess one clostridium difficil coliti pain improv report patientsconclus robot presacr neurectomi safe feasibl result improv pelvic pain select patient

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