Evaluation of short-term efficacy of laparoscopic autologous fascial repair for pelvic organ prolapse at the first and second level of DeLancey
Objective To investigate the effectiveness and safety of laparoscopic autologous fascial repair for pelvic organ prolapse(POP)at the first and second level of Delancey.Methods From May 2020 to May 2021,a total of 15 POP patients who received laparoscopic autologous fascial repair at the first and second level of DeLancey were selected.According to the"overall theory"of the female pelvis,anatomical and functional reduction was achieved by autologous fascia repair and reconstruction.Operation results were evaluated by the Pelvic Organ Prolapse Quantification System(POP-Q)and patients'subjective feelings.Results The mean operation time,intraoperative bleeding,postoperative length of stay,postoperative follow-up time and subjective satisfaction were(136.18±7.73)min,(52.14±22.59)mL,(5.07±0.62)d,(9.36±2.15)months,and 86.67％(13/15),respectively.None of the patients received blood transfusions during the operation.Among the 15 patients,1 patient had recurrent uterine prolapse when lifting heavy objects(about 10kg)4 months after surgery.There were significant difference in the position changes of all indicator points at the first and second level of DeLancey in the remaining 14 patients within 1 year after surgery compared with those before surgery(P＜0.05).Stress urinary incontinence,lumbosacral drop discomfort,lumbar acid and other symptoms were significantly improved.The scores of the Pelvic Floor Impact Questionnaire-short form 7(PFIQ-7)and the Pelvic Floor Disability Index(PFDI-20)in 15 patients were significantly lower compared with those before surgery(P＜0.05).Conclusion Laparoscopic autologous fascial repair is designed for POP patients at the first and second level of DeLancey,showing a stable short-term efficacy,high safety,and no complication.Its long-term outcome needs to be further observed.
pelvic organ prolapselaparoscopyautologous fascial repairsacral ligament reconstructionpubocervical fascia
NETL
NSTL
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