Observation on the treatment of pelvic organ prolapse with vaginal hysterectomy combined with anterior and posterior wall repair surgery
Objective:To explore the influenceof vaginal hysterectomy+anterior and posterior wall repair onpatients with pelvic organ prolapse(POP).Methods:80 patients with POPwere selected as the study subjects.The observation groupunderwent vaginal hysterectomy+vaginal anterior and posterior wall repair,and the control group was given anterior pelvic mesh suspension.The differences in surgical conditions,pelvic floor function,levator ani muscle contraction function,postoperative complications and recurrence were compared between the two groups of patients.Results:The intraoperative blood loss,postoperative catheter indwelling time and hospital stay in theobservation group were more or longer than those in the control group,the scores of PFDI-20 and PFIQ-7 were higher than those in the control group,and the LHS in valsalva actionwas higher while the LAT was lower compared to the control group,and the incidence rate of mesh erosion/exposurewas lower compared with that in the control group(all P<0.05).Conclusion:Vaginal hysterectomy+anterior and posterior wall repair has less intraoperative and postoperative effects,but its recovery effect on pelvic floor function is not as good as anterior pelvic mesh suspension.
Pelvic organ prolapseVaginal hysterectomyAnterior and posterior wall repairAnterior pelvic mesh suspensionPelvic floor function
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