The da Vinci Surgical System has several features that allow for robotic assisted laparoscopy. The da Vinci Surgical System is an integrated computer-based system consisting of 2 interactive robotic arms, a camera arm, and a remote control with 3-dimensional vision capability. The robotic arm duplicates the motion of the surgeon using the remote control unit of the robot. The robotic arm has 7 degrees of freedom and therefore is capable of mimicking the human wrist. A camera system is needed because the robotic system has no feedback control like human skeletal muscle system. While the robotic system can perform any human tasks, a surgical assistant is needed to perform tasks like tissue countertraction, hemostasis, he- moclip application, suction, and assistance during suturing. Additionally, the surgical assistant must align and exchange surgical tools with the robotic arm.

        After the patient is placed under anesthesia, abdominal insufflations using a varus needle to place a periumbilical Visiport. Two laparoscopic ports incisions are made with one 10-mm port right subcostolateral to the rectus and a 5-mm port 8 to 10 cm inferiolaterally and two robotic ports are placed 8-mm robotic ports are then placed lateral to the rectus 3 cm superior to the iliac crest. A surgical retractor is used to dissect any pelvic organs. After dissection, the sacral dissection to is accomplished to avoid any sacral blood vessels. The vaginal mesh is brought into the surgical field through one of the ports. The da Vinci robot is then brought in to perform the suturing of the vaginal mesh to the vaginal wall and sacrum. The robotic surgery is used primarily to reduce the operating time to suture the vaginal mesh. Once the vaginal graft is sutured, the surgery is complete the laparoscopic incisions are sutured. [5]