Abstract:
Objective To investigate the effect of vaginal hysterectomy combined with anterior and posterior vaginal wall repair on postoperative pain and recurrence in patients with uterus prolapse and vaginal prolapse.
Methods From January 2017 to January 2019, ninty cases of uterine prolapse and vaginal prolapse in Ma'anshan central hospital were randomly divided into two groups: control group (n=45 cases) and observation group (n=45 cases). The control group was treated with simple repair of the anterior and posterior walls of the vagina. The observation group was treated with vaginal hysterectomy and repair of anterior and posterior vagina wall. The two groups were followed up for one year. The clinical effect, visual analogue score (VAS) before and after operation were compared between the two groups, and the perioperative operation related indexes, the incidence of complications and the recurrence rate of 1-year follow-up were counted.
Results The total effective rate of the observation group was 93.33%, which was significantly higher than 71.11% of the control group (P<0.05). Compared with that before operation, the VAS score of the two groups decreased gradually 3-7 days after operation, and the VAS score of the observation group at 3 day and 7 day was significantly lower than that of the control group (P<0.05). Compared with the control group, the observation group had significantly less intraoperative blood loss, and the difference was statistically significant (P<0.05); the hospital stay, anal exhaust time, and operation time of observation group were significantly shorter, and the differences were statistically significant (P<0.05). The incidence of complications and 1-year follow-up recurrence in the observation group were 6.67% and 2.22%, respectively, which were significantly lower than those in the control group (26.67% and 24.44%, P<0.05).
Conclusion Vaginal hysterectomy combined with anterior and posterior vagina wall repair can significantly improve the perioperative related indicators, reduce the postoperative pain, and reduce the incidence of complications and postoperative recurrence rate. The clinical effect is significant.
Key words:
Uterine prolapse,
Vaginal prolapse,
Vaginal hysterectomy,
Anterior and posterior vaginal wall repair,
Pain,
Complications
Zhaoxia Zhu, Lili Jiang, Anle Zhang, Xiaolong Wu. Effect of vaginal hysterectomy combined with anterior and posterior vaginal wall repair on postoperative pain and recurrence in patients with uterine prolapse and vaginal prolapse[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2020, 14(05): 532-535.