Comparison of functional outcomes with purely laparoscopic sacrocolpopexy and robot-assisted sacrocolpopexy in obese women

2014 ◽  
Vol 24 (17) ◽  
pp. 1106-1113 ◽  
Author(s):  
M. Joubert ◽  
T. Thubert ◽  
J.-P. Lefranc ◽  
C. Vaessen ◽  
É. Chartier-Kastler ◽  
...  
Keyword(s):  
Functional Outcomes ◽  
Laparoscopic Sacrocolpopexy ◽  
Obese Women ◽  
Robot Assisted

scholarly journals Comparison of functional outcomes after robot-assisted laparoscopic sacrocolpopexy in women with a BMI below and above 30

2017 ◽  
Vol 30 (1) ◽  
Author(s):  
Thibault Thubert ◽  
Yohann Dabi ◽  
Anne Sophie Boudy ◽  
Marion Joubert ◽  
Christophe Vaessen ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
De Novo ◽  
Operating Time ◽  
Complication Rates ◽  
Laparoscopic Sacrocolpopexy ◽  
Obese Patients ◽  
Obese Women ◽  
Robot Assisted ◽  
The Impact

The aim of this study was to assess the impact of body-mass index on robot-assisted laparoscopic sacrocolpopexy (RALSCP). A retrospective study was conducted on women who underwent a RALSCP. Data were collected prospectively from 17 obese and 78 non-obese patients treated between January 2008 and January 2013. Obesity was defined as a body-mass index (BMI) of ≥30 kg/m<sup>2</sup>. Relationships with outcome analysed using Mann– Whitney U-test and Fisher’s exact test. The operating time was the same in both groups: 220 vs 200 min in the obese and non-obese groups, respectively (P=0.232). The median follow-up was 12 months in both non-obese and obese patients. Overall anatomic repair rate was 94.1% and 97.4% for obese and non-obese patients, respectively (P=0.95). The overall reoperation rate (including surgery for <em>de novo</em> urinary-stress incontinence) was 5.9% for obese <em>vs</em> 11.5% for non-obese patients (P=0.8). These findings suggest that RALSCP is a viable option for obese women. The complication rates and outcomes for obese women were similar to those for non-obese women.

Prospective comparison of short-term functional outcomes obtained after pure laparoscopic and robot-assisted laparoscopic sacrocolpopexy

2011 ◽  
Vol 30 (3) ◽  
pp. 393-398 ◽  
Author(s):  
Julien Seror ◽  
David R. Yates ◽  
Elise Seringe ◽  
Christophe Vaessen ◽  
Marc-Olivier Bitker ◽  
...  
Keyword(s):  
Functional Outcomes ◽  
Laparoscopic Sacrocolpopexy ◽  
Robot Assisted ◽  
Short Term ◽  
Prospective Comparison

scholarly journals Long-term functional outcomes after robot-assisted prostatectomy compared to laparoscopic prostatectomy: Results from a national retrospective cluster study

2021 ◽  
Author(s):  
Melanie (M.A.) Lindenberg ◽  
Valesca (V.P.) Retèl ◽  
Jacobien (J.M.) Kieffer ◽  
Carl (C.) Wijburg ◽  
Laurent (L.M.C.L) Fossion ◽  
...  
Keyword(s):  
Functional Outcomes ◽  
Robot Assisted ◽  
Laparoscopic Prostatectomy

The effect of robot-assisted gait training on cortical activation in stroke patients: A functional near-infrared spectroscopy study

2021 ◽  
pp. 1-9
Author(s):  
Kyeong Joo Song ◽  
Min Ho Chun ◽  
Junekyung Lee ◽  
Changmin Lee
Keyword(s):  
Gait Speed ◽  
Functional Outcomes ◽  
Near Infrared ◽  
Gait Training ◽  
Berg Balance Scale ◽  
Cortical Activation ◽  
Control Group ◽  
Stroke Patients ◽  
Robot Assisted ◽  
Functional Near Infrared Spectroscopy

OBJECTIVE: To investigate the effects of the robot–assisted gait training on cortical activation and functional outcomes in stroke patients. METHODS: The patients were randomly assigned: training with Morning Walk® (Morning Walk group; n = 30); conventional physiotherapy (control group; n = 30). Rehabilitation was performed five times a week for 3 weeks. The primary outcome was the cortical activation in the Morning Walk group. The secondary outcomes included gait speed, 10-Meter Walk Test (10MWT), FAC, Motricity Index–Lower (MI–Lower), Modified Barthel Index (MBI), Rivermead Mobility Index (RMI), and Berg Balance Scale (BBS). RESULTS: Thirty-six subjects were analyzed, 18 in the Morning Walk group and 18 in the control group. The cortical activation was lower in affected hemisphere than unaffected hemisphere at the beginning of robot rehabilitation. After training, the affected hemisphere achieved a higher increase in cortical activation than the unaffected hemisphere. Consequently, the cortical activation in affected hemisphere was significantly higher than that in unaffected hemisphere (P = 0.036). FAC, MBI, BBS, and RMI scores significantly improved in both groups. The Morning Walk group had significantly greater improvements than the control group in 10MWT (P = 0.017), gait speed (P = 0.043), BBS (P = 0.010), and MI–Lower (P = 0.047) scores. CONCLUSION: Robot-assisted gait training not only improved functional outcomes but also increased cortical activation in stroke patients.

scholarly journals The impact of a structured intensive modular training in the learning curve of robot assisted radical prostatectomy

2018 ◽  
Vol 90 (1) ◽  
pp. 1 ◽  
Author(s):  
Riccardo Schiavina ◽  
Marco Borghesi ◽  
Hussam Dababneh ◽  
Martina Sofia Rossi ◽  
Cristian Vincenzo Pultrone ◽  
...  
Keyword(s):  
Learning Curve ◽  
Functional Outcomes ◽  
Statistical Significance ◽  
Urinary Continence ◽  
Operating Table ◽  
Open Approach ◽  
Robot Assisted ◽  
Modular Training ◽  
Continence Rate ◽  
The Impact

Aim: The success of Robot Assisted Laparoscopic Prostatectomy (RALP) is mainly due to his relatively short learning curve. Twenty cases are needed to reach a “4 hours-proficiency”. However, to achieve optimal functional outcomes such as urinary continence and potency recovery may require more experience. We aim to report the perioperative and early functional outcomes of patients undergoing RALP, after a structured modular training program. Methods: A surgeon with no previous laparoscopic or robotic experience attained a 3 month modular training including: a) e-learning; b) assistance and training to the operating table; c) dry console training; d) step by step in vivo modular training performing 40 surgical steps in increasing difficulty, under the supervision of an experienced mentor. Demographics, intraoperative and postoperative functional outcomes were recorded after his first 120 procedures, considering four groups of 30 cases. Results: All procedures were completed successfully without conversion to open approach. Overall 19 (15%) post operative complications were observed and 84% were graded as minor (Clavien I-II). Overall operative time and console time gradually decreased during the learning curve, with statistical significance in favour of Group 4. The overall continence rate at 1 and 3 months was 74% and 87% respectively with a significant improvement in continence rate throughout the four groups (p = 0.04). Considering those patients submitted to nerve-sparing procedure we found a significant increase in potency recovery over the four groups (p = 0.04) with the higher potency recovery rate up to 80% in the last 30 cases. Conclusions: Optimal perioperative and functional outcomes have been attained since early phase of the learning curve after an intensive structured modular training and less than 100 consecutive procedures seem needed in order to achieve optimal urinary continence and erectile function recovery.

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