Comparison of the clinical efficacy of Y-mesh and non-mesh for laparoscopic vaginal sacral fixation
Objective To compare the clinical efficacy of laparoscopic vaginal sacral fixation utilizing Y-mesh and non-mesh in the treatment of pelvic organ prolapse(POP).Methods The clinical data of 80 patients who underwent laparoscopic vaginal sacral fixation for symptomatic POP admitted to the Shanxi Medical University Second Hospital from July 2021 to September 2022 were retrospectively analyzed.Patients who received Y-mesh were included into mesh group and patients who received nonabsorbable sutures were included into non-mesh group,with 40 cases each.Perioperative indexes,postoperative complications and postoperative quality of life were compared and analyzed between the two groups.Results The operation time and hospitalization cost of patients in the mesh group were higher than those in the non-mesh group(P＜0.05).During the 6-month follow-up period,each point of pelvic organ prolapse quantitative staging(POP-Q)all improved in both groups compared with the preoperative period(P＜0.05),but the difference between the two groups was not statistically significant(P＞0.05).There were two cases of mesh exposure in the mesh group and no suture exposure in the non-mesh group at the 6-month postoperative follow-up;there was no significant difference in the new incidence rate of postoperative stress urinary incontinence between the two groups(P＞0.05).At 6 months after surgery,the pelvic floor istress nventory-20(PDFI-20)and female sexual function index scale-6(FSFI-6)scores of patients in both groups improved compared with the preoperative period(P＜0.05).Conclusions Both Y-mesh and non-mesh are a safe and effective procedures that can improve patients'quality of life with high surgical safety and fewer postoperative complications.Y-mesh is costly and has high postoperative sexual satisfaction,which is suitable for sexually active young patients,while non-mesh is more suitable for older patients with a combination of multiple disorders,and it is beneficial for shortening the duration of the operation time at a low cost.
Laparoscopic vaginal sacral fixationPelvic organ prolapseMeshQuality of life
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