Retrospective comparative study on efficacy and safety of different surgical procedures for pelvic organ prolapse
Abstract
The aim of this retrospective study was to analyze the efficacy and safety of lateral abdominal wall suspension during surgery compared with traditional procedures in patients with pelvic organ prolapse without uterine preservation. Collect the data of patients with uterine and vaginal wall prolapse who underwent surgery from January 2022 to December 2023. All patients were divided into three groups according to different surgical procedures: Study Group (laparoscopic total hysterectomy + bilateral salpingectomy/oophorectomy + lateral abdominal wall suspension + posterior colporrhaphy), Control Group 1 (laparoscopic-assisted vaginal total hysterectomy + bilateral salpingectomy/bilateral oophorectomy + anterior and posterior colporrhaphy), and Control Group 2 (vaginal total hysterectomy + anterior and posterior colporrhaphy).Statistically analyze the clinical indicators and recurrence situations in different Groups. Patients in Study group exhibited significantly higher preoperative POP-Q staging for pelvic organ prolapse severity(P 0.05). However, stress incontinence in 1-year after operation has no difference between study group and control groups. Recurrence rates in Control Group 1 is higher than Study Group (P = 0.02), While, it has no difference between Study Group and Control Group 2. Lateral abdominal wall suspension, despite a longer operative duration, surpasses traditional surgeries in minimizing intraoperative blood loss, cutting down the time of postoperative…
How strong is the evidence?
Evidence Hub reads this as a cohort study, done in people. Its evidence level is 3 of 5 (Moderate · trial / cohort / secondary analysis). Trials without a large randomized design, cohorts and secondary analyses give moderate evidence.
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