Surgical Technique for Robot-assisted Sacrocolpopexy Performed via a Single Port

Objective Sacrocolpopexy is considered the gold standard for the treatment of pelvic organ prolapse (POP). This procedure was the first technique used to treat POP with robotic assistance and has gone a long way since the open procedure was introduced. Originally, 5 trocars were inserted and there remained issues in terms of scarring, morcellation, and possibly an increased risk of infection. The objective of this video was to demonstrate a surgical technique and a few tips and tricks for a robot-assisted sacrocolpopexy performed via a single port in the umbilicus. Methods Since July 2015, women with symptomatic uterine prolapse were selected to be operated on by a single surgeon via a single robotic port. The video presents some tips and tricks to aid the surgeon to perform this surgery in a safe and timely manner, using da Vinci S or Si system. Conclusion Robotically assisted laparoscopic repair of POP by sacrocolpopexy via a single port is a feasible technique with promising cosmetic results. This technique avoids morcellation and should also decrease the risk of infection because of the lower number of incisions.