Effect analysis of the treatment for pelvic organ prolapse by laparoendoscopic single-site and transvaginal sacrospinous ligament fixation

Abstract

Objective Discuss the type into the road of laparoendoscopic single-site and transvaginal sacrospinous ligament fixation safety and effectiveness for the treatment of pelvic organ prolapse. Methods Retrospective analysis the 47 patients who treated with pelvic organ prolapse between Jan. 2017 and Dec.2018 in Department of Obstetrics and Gynecology, Zhongnan Hospital of Wuhan University. Among them, 21 patients underwent laparoendoscopic single-site sacrospinous ligament fixation (single hole laparoscopic group), 26 patients underwent transvaginal sacrospinous ligament fixation (vaginal group). Analysis the patients with operation time, intraoperative blood loss, hospital stay, postoperative ventilation time, clinical incidence of adverse reactions (including intraoperative bleeding, postoperative vagina bleeding, postoperative dysuria, urinary leakage, urinary retention, etc), each indicator point measurement of POP-Q, PFIQ-7 grade, PISQ-12 grade and relapse of patients. Results The intraoperative blood loss, hospitalization time, clinical incidence of adverse reactions of laparoendoscopic single-site approach and transvaginal approach had statistically significant differences (P 0.05); two groups of preoperative and postoperative POP-Q each indicator point measurements, PFIQ-7 grade, PISQ-12 score has significant improved, but the above index between two groups of preoperative and postoperative difference is not statistically significant (P>0.05); to postoperative follow-up of one year, two groups of patients had no recurrence. Conclusions Sacrospinous ligament fixation by laparoendoscopic single-site for the treatment of pelvic organ prolapse is safety and effectiveness, which can be popularized in clinic. Key words: Laparoendoscopic single-site surgery; Sacrospinous ligament fixation; Pelvic organ prolapse