Comparison of Clinical Efficacy Between Laparoscopic Lateral Abdominal Wall Suspension Surgery and Anterior Pelvic Floor Reconstruction Sur-gery in the Treatment of Moderate to Severe Uterine Prolapse
Objective To explore the clinical effect of laparoscopic lateral abdominal wall suspension and anterior pel-vic floor reconstruction in the treatment of moderate and severe uterine prolapse.Methods 80 patients with moderate and severe uterine prolapse admitted to the Fifth People's Hospital of Huai'an City from February 2021 to February 2023 were non-randomly selected as the study objects,and were divided into study group(40 cases)and control group(40 cases)according to different treatment methods.The control group underwent anterior pelvic floor reconstruction and the study group underwent laparoscopic lateral abdominal wall suspension.Perioperative indexes,quality of life score and complication rate were compared between the two groups.Results Compared with the control group,the op-eration time,hospitalization time and catheterization time of the study group were shorter,and the intraoperative blood loss was less,the differences were statistically significant(all P<0.05).The quality of life scores of the study group were better than those of the control group,and the differences were statistically significant(all P<0.05).The inci-dence of complications in the study group was 2.50%(1/40),lower than 2.50%(1/40)in the control group,and the dif-ference was statistically significant(χ2=9.804,P<0.05).Conclusion Both laparoscopic lateral abdominal wall suspen-sion and anterior pelvic floor reconstruction can effectively treat moderate and severe uterine prolapse,the former has less trauma to patients,shorter operation time,hospital stay and catheterization time,and less blood loss,which is con-ducive to promoting the recovery of postoperative quality of life,and has a lower incidence of complications and high safety.
Moderate to severe uterine prolapseLaparoscopic lateral abdominal wall suspensionAnterior pelvic floor reconstructionComplication