Effect of total pelvic floor reconstruction and transvaginal hysterectomy+anterior and posterior vaginal wall repair on pelvic floor function and postoperative recurrence in patients with pelvic organ prolapse
Objective To observe the effect of total pelvic floor reconstruction with laparoscopic implantation of TiLOOP mesh(light titaniumized polypropylene TiLOOP anterior pelvic floor repair system)and transvaginal hysterectomy(TVH)plus anterior and posterior vaginal wall repair(APR)on pelvic floor function and postoperative recurrence in patients with pelvic organ prolapse(POP).Methods The study subjects were 92 patients with POP who received treatment in Taizhou Municipal Hospital from January 2018 to February 2022,and were divided into control group(traditional vaginal surgery:TVH+APR,43 cases)and study group(laparoscopic implantation of TiLOOP mesh for total pelvic floor reconstruction,49 cases)by means of surgical methods.Pelvic organ prolapse grading,surgical indicators,hospitalization cost,postoperative recurrence rate,sexual life quality,postoperative long-term complications and quality of life scores were compared.Results At 12 months after surgery,the proportions of pelvic organ prolapse grade Ⅱ and above in study group were less than those in control group(P＜0.05).The study group had shorter postoperative hospital stay,less intraoperative blood loss,urinary catheterization time,and less postoperative residual urine volume(P＜0.05),and the hospitalization cost was higher(P＜0.05).The total incidence rate of complications such as postoperative pain,urinary retention,vaginal bleeding,bladder damage and incision infection was lower in study group compared with that in control group(P＜0.05).The scores of PFIQ-7 and PFDI-20 in study group after surgery were lower than those in control group while the score of PISQ-12 was higher than that in control group(P＜0.05).The recurrence rate was lower in study group(P＜0.05).Conclusion The application of laparoscopic implantation of TiLOOP for total pelvic floor reconstruction has strong clinical practicability in treating POP,and can effectively control complications and recurrence rate after treatment,and it has certain safety and can greatly improve the quality of life of patients.
TiLOOP meshtotal pelvic floor reconstructiontransvaginal hysterectomyposterior organ prolapsepelvic organ prolapsepostoperative recurrencepelvic floor function
万方数据
维普
