Clinical analysis of laparoscopic uterine suspension combined with posterior vaginal wall repair for uterine prolapse complicated with intestinal hernia

doi:10.3877/cma.j.issn.1674-392X.2022.03.004

Abstract

Abstract:

Objective

To explore the clinical effect of laparoscopic uterine suspension combined with vaginal posterior wall repair in the treatment of uterine prolapse complicated with intestinal hernia.

Methods

Sixty-eight female patients who were treated in Central Hospital Maanshan with uterine prolapse complicated with intestinal hernia from July 2019 to April 2020 were included. Patients were divided into experimental and control groups according to treatment methods, with 34 patients in each group. The experimental group was treated with laparoscopic uterine suspension combined with vaginal posterior wall repair, and the control group was treated with vaginal hysterectomy combined with vaginal posterior wall repair. The general surgical conditions, postoperative pelvic floor muscle function, surgical success rate and postoperative complications of the two groups were compared.

Results

The amount of intraoperative bleeding, operation time and hospital stay in the experimental group were lower than those in the control group (P<0.05). The success rate of surgery was 100% (34/34) in the experimental group, which was higher than 82.35% (28/34) in the control group (P<0.05). After treatment, PFDI-20 and PFIQ-7 scores of the two group were lower than those before treatment (P<0.05), and PFDI-20 and PFIQ-7 scores were lower in the experimental group than those in the control group (P<0.05). After treatment, SWLS scores increased in both groups, SWLS score was higher in the experimental group than that in the control group (P<0.05). SAS scores in both groups decreased after treatment, and SAS scores were lower in the experimental group than that in the control group (P<0.05). The incidence of complications in the study group was 2.94% (1/34), which was lower than 20.59% (7/34) in the control group (P<0.05).

Conclusion

Laparoscopic uterine suspension combined with vaginal posterior wall repair has a better effect in patients with uterine prolapse complicated with intestinal hernia, which significantly improved the pelvic floor muscle function, with few adverse reactions and high safety.

Key words: Uterine prolapse, Intestinal hernia, Laparoscopic uterine suspension, Vaginal posterior wall repair

Lili Jiang, Xinmei Sheng, Song Zhong. Clinical analysis of laparoscopic uterine suspension combined with posterior vaginal wall repair for uterine prolapse complicated with intestinal hernia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2022, 16(03): 266-269.

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References 14

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组别	例数	术中出血量(ml)	手术时间(d)	住院时间(d)
试验组	34	95.21±15.78	70.38±16.52	4.59±2.32
对照组	34	60.83±13.65	56.59±11.12	8.76±2.54
t值		10.551	4.434	7.762
P值		<0.001	<0.001	<0.001

组别	例数	术中出血量(ml)	手术时间(d)	住院时间(d)
试验组	34	95.21±15.78	70.38±16.52	4.59±2.32
对照组	34	60.83±13.65	56.59±11.12	8.76±2.54
t值		10.551	4.434	7.762
P值		<0.001	<0.001	<0.001

组别	例数	PFDI-20		PFIQ-7
组别	例数	治疗前	治疗后	治疗前	治疗后
试验组	34	93.25±16.68	35.24±11.38^*	95.17±11.25	28.33±7.65^*
对照组	34	93.57±17.03	52.35±14.71^*	95.34±10.81	40.72±10.12^*
t值		0.086	5.891	0.070	6.254
P值		0.869	<0.001	0.945	<0.001

组别	例数	PFDI-20		PFIQ-7
组别	例数	治疗前	治疗后	治疗前	治疗后
试验组	34	93.25±16.68	35.24±11.38^*	95.17±11.25	28.33±7.65^*
对照组	34	93.57±17.03	52.35±14.71^*	95.34±10.81	40.72±10.12^*
t值		0.086	5.891	0.070	6.254
P值		0.869	<0.001	0.945	<0.001

组别	例数	SWLS		SAS
组别	例数	治疗前	治疗后	治疗前	治疗后
试验组	34	17.61±3.78	28.25±5.25^*	65.32±7.18	29.58±8.34^*
对照组	34	17.49±3.82	22.31±4.73^*	66.12±6.83	41.81±9.32^*
t值		0.143	5.383	0.517	6.261
P值		0.887	<0.001	0.607	<0.001

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