Laparoscopic sacrocolpopexy for female pelvic organ prolapse: an analysis of 40 cases

doi:10.3877/cma.j.issn.1674-6899.2020.01.010

Abstract

Abstract:

Objective

To investigate the clinical efficiency and feasibility of laparoscopic sacrocolpopexy (LSC) in the treatment of pelvic organ prolapse(POP) in women.

Methods

40 cases of POP were treated with hysterectomy and LSC in Beijing Anzhen Hospital Affiliated to Capital Medical University from Jan.2015 to Dec. 2017.The anatomic and functional recovery was evaluated by POP-Q, the pelvic floor inventory short form 20(PFDI-20), pelvic floor impact questionnaire short form 7(PFIQ-7), and the sexual function questionnaire short form 31(PISQ-31). Age 45-77 years(60.8±1.4)years, pregnancy times 1-4 times, (2.8±0.7)times, delivery times 1-3 times(1.7±0.5)times.

Result

Operation time, 130-330 min, (215.2±7.6) min, intraoperative bleeding 20-300 ml, (82.3±9.2) ml, and postoperative hospitalization 3-19 days, (6.6±0.4)days.All cases were followed up for 8-21 months(mean, 11 months). The overall objectivecure rate was 100% and the satisfaction rate was 100%.

Conclusions

Laparoscopic sacrocolpopexy is an effective treatment for women with POP.This operation has a high cure rate objectively and satisfaction rate.

Key words: Laparoscopic sacrocolpopexy, Pelvic organ prolapse

Wenjuan Zhao, Bin Li, Jia Kong. Laparoscopic sacrocolpopexy for female pelvic organ prolapse: an analysis of 40 cases[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2020, 13(01): 41-45.

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Figures/Tables 10

References 15

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时间	Aa(±s)	Ba(±s)	C(P₂₅～₇₅)	Ap(P₂₅～₇₅)	Bp(P₂₅～₇₅)
术前	1.75±1.93	2.25±2.71	2.5(－0.50～7.00)	0.85(－1.60～2.00)	－0.70(－2.00～0.40)
术后6个月	－2.32±0.52	－2.50±0.41	－7.5(－6.00～－7.00)	－3.10(－4.20～－2.50)	－2.70(－2.00～－2.80)
统计值	t＝15.649	t＝3.601	Z＝－5.502	Z＝－3.346	Z＝－2.374
P值	0.01	0.01	<0.00	<0.00	<0.00

时间	Aa(±s)	Ba(±s)	C(P₂₅～₇₅)	Ap(P₂₅～₇₅)	Bp(P₂₅～₇₅)
术前	1.75±1.93	2.25±2.71	2.5(－0.50～7.00)	0.85(－1.60～2.00)	－0.70(－2.00～0.40)
术后6个月	－2.32±0.52	－2.50±0.41	－7.5(－6.00～－7.00)	－3.10(－4.20～－2.50)	－2.70(－2.00～－2.80)
统计值	t＝15.649	t＝3.601	Z＝－5.502	Z＝－3.346	Z＝－2.374
P值	0.01	0.01	<0.00	<0.00	<0.00

时间	PFDI-20	PFIQ-7	PISQ-31
术前	85.83±11.31	94.10±11.27	49.18±3.54
术后6个月	13.00±1.13	14.03±1.14	48.67±3.28
t值	4.241	5.582	0.637
P值	0.001	0.001	0.528

时间	PFDI-20	PFIQ-7	PISQ-31
术前	85.83±11.31	94.10±11.27	49.18±3.54
术后6个月	13.00±1.13	14.03±1.14	48.67±3.28
t值	4.241	5.582	0.637
P值	0.001	0.001	0.528

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