Objective:To investigate the clinical effects of laparoscopic lateral peritoneal suspension for severe pelvic organ prolapse(POP).Methods:Thirty-eight patients who underwent laparoscopic lateral peritoneal suspension ...Objective:To investigate the clinical effects of laparoscopic lateral peritoneal suspension for severe pelvic organ prolapse(POP).Methods:Thirty-eight patients who underwent laparoscopic lateral peritoneal suspension for pelvic organ prolapse in the gynecology department of our hospital from January 2019 to January 2020 were selected for retrospective analysis.Postoperative outcomes were recorded for patients at 3,6,and 12 months postoperatively.Results:All 38 patients completed the surgery safely,and the duration of surgery was 85-190 min,with a mean of(138±40.75)min;surgical bleeding was 30-80 ml,with a mean of(57±35.4)ml;the duration of postoperative catheterization was 4-6 days,with a mean of(5±0.73)days;postoperative hospitalization was 6-12 days,with a mean of(8.49±2.18)days.2.18)days.At 3,6,and 12 months after the end of surgery,all follow-up patients had their uterus and anterior vaginal wall restored to normal position without prolapse.The pelvic floor rehabilitation of the patients after surgery was good and their sexual life was significantly improved in all cases.Conclusion:Laparoscopic lateral peritoneal suspension for severe pelvic organ prolapse is safe,efficacious,minimally traumatic,less painful,with short hospital stay,fast postoperative recovery,greater choice of uterine de-positioning,with the advantages of permanence and good pelvic floor anatomical recovery,and this procedure can maintain a certain vaginal length with 100%efficiency,which is worthy of clinical promotion.展开更多
目的探讨腹侧组织悬吊法在后腹腔镜手术中的应用价值。方法 2010年3月～2011年9月在30例后腹腔镜手术中采用腹侧组织悬吊法,其中12例术中因侧椎筋膜"门帘效应"行腹侧组织悬吊固定术,18例因腹膜破裂行腹侧组织悬吊修复术。取1...目的探讨腹侧组织悬吊法在后腹腔镜手术中的应用价值。方法 2010年3月～2011年9月在30例后腹腔镜手术中采用腹侧组织悬吊法,其中12例术中因侧椎筋膜"门帘效应"行腹侧组织悬吊固定术,18例因腹膜破裂行腹侧组织悬吊修复术。取1根中号圆针带针丝线,通过12 mm trocar通道置入后腹腔手术视野中,悬吊缝合腹侧侧椎筋膜,夹持缝线线头线尾通过腹侧trocar拉出,收紧缝线,保持腹侧侧椎筋膜悬吊,蚊式钳体外夹持缝线防止丝线回缩。结果 30例采用腹侧组织悬吊法处理中,12例腹侧筋膜"门帘效应"经处理后手术进展顺利;18例腹膜破裂采用腹侧组织悬吊法处理,其中15例处理后效果满意,手术顺利进行,3例效果不佳,采用脐部穿刺腹腔内留置5 mm trocar。术中未出现腹侧组织悬吊法相关并发症。结论腹侧组织悬吊法处理后腹腔镜术中腹侧筋膜"门帘效应"和腹膜破裂临床效果良好,具有经济、安全、简便的优势。展开更多
文摘Objective:To investigate the clinical effects of laparoscopic lateral peritoneal suspension for severe pelvic organ prolapse(POP).Methods:Thirty-eight patients who underwent laparoscopic lateral peritoneal suspension for pelvic organ prolapse in the gynecology department of our hospital from January 2019 to January 2020 were selected for retrospective analysis.Postoperative outcomes were recorded for patients at 3,6,and 12 months postoperatively.Results:All 38 patients completed the surgery safely,and the duration of surgery was 85-190 min,with a mean of(138±40.75)min;surgical bleeding was 30-80 ml,with a mean of(57±35.4)ml;the duration of postoperative catheterization was 4-6 days,with a mean of(5±0.73)days;postoperative hospitalization was 6-12 days,with a mean of(8.49±2.18)days.2.18)days.At 3,6,and 12 months after the end of surgery,all follow-up patients had their uterus and anterior vaginal wall restored to normal position without prolapse.The pelvic floor rehabilitation of the patients after surgery was good and their sexual life was significantly improved in all cases.Conclusion:Laparoscopic lateral peritoneal suspension for severe pelvic organ prolapse is safe,efficacious,minimally traumatic,less painful,with short hospital stay,fast postoperative recovery,greater choice of uterine de-positioning,with the advantages of permanence and good pelvic floor anatomical recovery,and this procedure can maintain a certain vaginal length with 100%efficiency,which is worthy of clinical promotion.
文摘目的探讨腹侧组织悬吊法在后腹腔镜手术中的应用价值。方法 2010年3月～2011年9月在30例后腹腔镜手术中采用腹侧组织悬吊法,其中12例术中因侧椎筋膜"门帘效应"行腹侧组织悬吊固定术,18例因腹膜破裂行腹侧组织悬吊修复术。取1根中号圆针带针丝线,通过12 mm trocar通道置入后腹腔手术视野中,悬吊缝合腹侧侧椎筋膜,夹持缝线线头线尾通过腹侧trocar拉出,收紧缝线,保持腹侧侧椎筋膜悬吊,蚊式钳体外夹持缝线防止丝线回缩。结果 30例采用腹侧组织悬吊法处理中,12例腹侧筋膜"门帘效应"经处理后手术进展顺利;18例腹膜破裂采用腹侧组织悬吊法处理,其中15例处理后效果满意,手术顺利进行,3例效果不佳,采用脐部穿刺腹腔内留置5 mm trocar。术中未出现腹侧组织悬吊法相关并发症。结论腹侧组织悬吊法处理后腹腔镜术中腹侧筋膜"门帘效应"和腹膜破裂临床效果良好,具有经济、安全、简便的优势。
