Curative effect of vaginal suspension during laparoscopically total hysterectomy

Abstract

Objective To retrospectively analyze the clinical efficacy of vaginal suspension during laparoscopically total hysterectomy on precaution the pelvic floor dysfunction after operation. Methods Selected 351 patients diagnosed as benign disease but not merge uterine prolapse by pathological examination treated by laparoscopic surgery, then they were divided into vaginal suspension group and matched group, 198 cases of laparoscopic uterine total resection operation and intraoperative additional vaginal stump suspension (vaginal suspension group) and 153 cases only with laparoscopic uterine total resection surgery (control group), two groups were not converted to laparotomy, the postoperative short-term and long-term curative effect and patient’s psychological change were compared, two groups of patients with postoperative did not accept the treatment of other special pelvic floor. Results The follow-up time was 34.5 months. There was no significant clifference in the total operative time, intraoperative blood loss, postoperative hospitalization time and remove guide catheter time, vaginal moisture and climacteric symptoms of the two groups (P>0.05). Two groups were followed up regularly for vaginal stump healing rate, urinary incontinence incidence, length of vagina, sexual satisfaction etc, the differences were significant (P<0.05). Compared with the control group, the quality of life of the patients in the suspension group was significantly improved. Conclusions Laparoscopic non prolapsed uterus resection, additional vagina suspention, is significantly for the postoperative recovery and its complications prevention effect is very significant, so it is a kind of superiority and high safety factor of operation, it is worth of clinical practice. Key words: Laparoscopic total hysterectomy; Vaginal stump suspension; Vaginal stump prolapse; Urinary incontinence