ArticleSurgical endoscopy2016
Robotic-assisted apical lateral suspension for advanced pelvic organ prolapse: surgical technique and perioperative outcomes.
Article in Surgical endoscopy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.
- 2025 Delphi consensus on robotic ventral mesh rectopexy.International journal of colorectal disease · 2025Guideline
- The Learning Curve in Urogynecology and Functional Urology: A Systematic Review.International urogynecology journal · 2025Pooled it
- Robot-assisted, Laparoscopic and Transvaginal Surgery for Pelvic Organ Prolapse: a Comparative Retrospective Single-Center Study.International urogynecology journal · 2026Article
- Laparoscopic lateral suspension combined with uterosacral ligament folding and shortening versus laparoscopic sacrocolpopexy for the treatment of pelvic organ prolapse: a retrospective cohort study.Frontiers in medicine · 2025Article
- Practice of laparoscopic prolapse surgery in Europe - ESGE Survey.Facts, views & vision in ObGyn · 2023Article
- Comparison of 2-year follow-up outcomes of laparoscopic lateral suspension and sacrospinous fixation in apical compartment prolapse: an observational study.Archives of gynecology and obstetrics · 2023Observational
- Robotically assisted laparoscopic lateral suspension: a step-by-step approach aiming to standardize a novel procedure.International urogynecology journal · 2023Article
- Minimal Invasive Abdominal Sacral Colpopexy and Abdominal Lateral Suspension: A Prospective, Open-Label, Multicenter, Non-Inferiority Trial.Journal of clinical medicine · 2023Article
- The Future in Standards of Care for Gynecologic Laparoscopic Surgery to Improve Training and Education.Journal of clinical medicine · 2022Review
- Outcomes of robotically assisted laparoscopic lateral suspension (RALLS) with mesh for anterior and apical prolapse.Journal of robotic surgery · 2022Article
- Laparoscopic lateral suspension for anterior and apical prolapse: a prospective cohort with standardized technique.International urogynecology journal · 2022Article
- Laparoscopic Lateral Suspension (LLS) for the Treatment of Apical Prolapse: A New Gold Standard?Frontiers in surgery · 2022Article
- Modified laparoscopic lateral suspension with a five-arm mesh in pelvic organ prolapse surgery.BMC women's health · 2021Article
- Advantages of robotic surgery in the treatment of complex pelvic organs prolapse.Updates in surgery · 2021Article
- Comparison of perioperative outcomes and technical features using da Vinci Si and Xi robotic platforms for early stages of endometrial cancer.Journal of robotic surgery · 2021Article
- Mini-Laparoscopic Repair of Apical Pelvic Organ Prolapse (POP) by Lateral Suspension with Mesh.Facts, views & vision in ObGyn · 2018Article
- Single site robotic-assisted apical lateral suspension (SS R-ALS) for advanced pelvic organ prolapse: first case reported.Journal of robotic surgery · 2017Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAbdominal sacral hystero-cervicopexy (ASC) is the gold standard for the treatment of apical prolapse, but requires advanced laparoscopic skills and exposes to potentially life-threatening complications. Lateral apical suspension to the abdominal wall with mesh is a feasible alternative of ASC where robotic assistance may offer specific advantages. We here describe the surgical technique and the short-term outcomes of robotic-assisted lateral apical suspension (R-ALS) with the use of a titan-covered T-shaped mesh.
methodsForty consecutive patients with stage III or IV symptomatic anterior and apical pelvic organ prolapse underwent R-ALS between September 2014 and September 2015.
resultsR-ALS was completed without complications in all cases with a mean operative time of 117 ± 26 min. From a technical standpoint, robotic assistance allowed for an extremely reproducible technique, with a swift learning curve and consistent length of the surgical steps. The procedure was extremely well tolerated and resulted in complete resolution of POP-associated symptoms and in improvements of POP- and incontinence-related quality-of-life scores (PQOL and IIQ7) at 1 month from surgery.
conclusionsR-ALS is feasible, safe, well-tolerated and effective at a short-term follow-up. R-ALS may represent an effective and simple alternative to abdominal sacral hystero-cervicopexy for the treatment of high-grade apical and anterior POP, avoiding the challenges of sacral mesh fixation. Robotic assistance helps achieving optimally tailored anatomic reconstruction, allowing seamless deep pelvic dissection and suturing.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.