Clinical effect of improved mesh in the treatment of severe pelvic organ prolapse

Abstract

Objective To discuss the clinical effect of improved pelvic floor mesh implantation in the treatment of severe pelvic organ prolapse. Methods From January 2016 to April 2018, eighty-four patients with severe pelvic organ prolapse admitted to Harbin First Hospital were randomly divided into observation group and control group with 42 cases in each group.The control group was treated with traditional pelvic floor reconstruction, which used two meshes to reconstruct front and back of pelvic cavity.42 cases of the observation group were treated with improved mesh-augmented vaginal reconstructive surgery, which used only one mesh to reconstruct total pelvic reconstruction by changing the location of puncture.The therapeutic effects of the two surgical methods were compared, including general condition of the whole body, perioperative period, operative period and follow-up. Results The amount of blood loss in the observation group were significantly lower than that in the control group((65.32±20.39) ml vs.(86.52±30.23) ml), and the difference was statistically significant (t=4.56, P 0.05). Conclusion The improved mesh-augmented vaginal reconstructive surgery is an effective minimally invasive surgery, which has small trauma and fewer complications, faster recovery after surgery, can save medical costs, and has broad prospects for clinical application. Key words: Pelvic floor reconstruction surgery; Severe pelvic organ prolapse; Improved mesh-augmented surgery; Treatment outcome