Effect of round ligament suspension on postoperative vaginal protruding in patients with laparoscopic total hysterectomy

doi:10.3877/cma.j.issn.1674-392X.2024.04.015

Abstract

Abstract:

Objective

To explore the effect of round ligament suspension on postoperative vaginal protruding in patients with laparoscopic total hysterectomy.

Methods

The data of patients with laparoscopic total hysterectomy admitted to the Affiliated Cancer Hospital of Harbin Medical University from January 2017 to December 2022 were retrospectively analyzed. Patients were divided into conventional group (102 cases, conventional laparoscopic total hysterectomy) and combined group (98 cases, round ligament suspension on the basis of conventional group) according to different surgical methods. The surgical related indicators, incidence rate of postoperative vaginal protruding and complications, pelvic floor muscle strength and sexual life quality at 1, 3, 6, 12 months after surgery were compared between the two groups.

Results

There were no statistical differences in surgical related indicators between the two groups (P>0.05). At 3 and 6 months after surgery, the incidence rate of vaginal protruding in combined group was significantly lower than that in conventional group (P<0.05), and the incidence rates of other postoperative complications revealed no statistical differences between the two groups (P>0.05). The pelvic floor muscle strength indicators (average muscle voltages of typeⅠ and type Ⅱ pelvic floor muscle fibers) in combined group at 3 and 6 months after surgery were significantly higher than those in conventional group (P<0.05). At 6 and 12 months after surgery, the sexual life quality score in combined group was significantly higher than that in conventional group (P<0.05).

Conclusion

The combination of round ligament suspension can effectively reduce the incidence of vaginal protruding in patients with laparoscopic total hysterectomy, have little influence on pelvic floor muscle, and can effectively improve the postoperative sexual life quality.

Key words: Laparoscopes, Total hysterectomy, Vaginal protruding, Round ligament suspension

Songyu Tian, Mingyue Zhang, Yu bo Zhang. Effect of round ligament suspension on postoperative vaginal protruding in patients with laparoscopic total hysterectomy[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2024, 18(04): 433-436.

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Figures/Tables 6

References 20

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组别	例数	年龄(岁,±s)	体重指数(kg/m²,±s)	孕次(次,±s)	产次(次,±s)	类型[例(%)]
组别	例数	年龄(岁,±s)	体重指数(kg/m²,±s)	孕次(次,±s)	产次(次,±s)	子宫肌瘤	子宫腺肌病
联合组	98	52.14±4.48	24.27±2.06	3.49±0.46	2.04±0.44	59(60.20)	39(39.80)
常规组	102	53.36±5.69	23.96±2.14	3.58±0.61	1.98±0.53	64(62.75)	38(37.25)
χ²/t值		1.680	1.043	1.175	0.869	0.136
P值		0.094	0.298	0.242	0.386	0.712

组别	例数	年龄(岁,±s)	体重指数(kg/m²,±s)	孕次(次,±s)	产次(次,±s)	类型[例(%)]
组别	例数	年龄(岁,±s)	体重指数(kg/m²,±s)	孕次(次,±s)	产次(次,±s)	子宫肌瘤	子宫腺肌病
联合组	98	52.14±4.48	24.27±2.06	3.49±0.46	2.04±0.44	59(60.20)	39(39.80)
常规组	102	53.36±5.69	23.96±2.14	3.58±0.61	1.98±0.53	64(62.75)	38(37.25)
χ²/t值		1.680	1.043	1.175	0.869	0.136
P值		0.094	0.298	0.242	0.386	0.712

组别	例数	手术时间(min)	术中出血量(ml)	住院时间(d)	肛门排气时间(d)	术后阴道总长度(cm)
联合组	98	83.24±7.69	72.36±10.32	7.02±0.69	1.20±0.54	7.86±0.34
常规组	102	81.49±7.48	73.64±11.57	6.89±0.74	1.32±0.78	7.95±0.46
t值		1.631	0.824	1.284	1.260	1.568
P值		0.104	0.411	0.201	0.209	0.118

组别	例数	手术时间(min)	术中出血量(ml)	住院时间(d)	肛门排气时间(d)	术后阴道总长度(cm)
联合组	98	83.24±7.69	72.36±10.32	7.02±0.69	1.20±0.54	7.86±0.34
常规组	102	81.49±7.48	73.64±11.57	6.89±0.74	1.32±0.78	7.95±0.46
t值		1.631	0.824	1.284	1.260	1.568
P值		0.104	0.411	0.201	0.209	0.118

组别	例数	术后1个月	术后3个月	术后6个月
联合组	98	0(0.00)	2(2.04)	6( 6.12)
常规组	102	3(2.94)	9(8.82)	16(15.69)
χ²值		2.927	4.424	4.670
P值		0.087	0.035	0.031

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