Effect of new-style anterior and posterior vaginal wall repair combined with modified ischial spine fascia fixation on patients with pelvic organ prolapse and their postoperative quality of life
ObjectiveThis study aims to explore the effect of new-style anterior and posterior vaginal wall repair combined with modified ischial spine fascia fixation on patients with pelvic organ prolapse (POP) and their postoperative quality of life.MethodsA total of 88 patients with POP and elective surgery...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-10-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.994615/full |
| _version_ | 1828107340128190464 |
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| author | Gensheng Wang Shengju Zhou Shuhua Wang Dongdi Xu Dan Wang Hongling Xu Chuanlong Gao Qing Li |
| author_facet | Gensheng Wang Shengju Zhou Shuhua Wang Dongdi Xu Dan Wang Hongling Xu Chuanlong Gao Qing Li |
| author_sort | Gensheng Wang |
| collection | DOAJ |
| description | ObjectiveThis study aims to explore the effect of new-style anterior and posterior vaginal wall repair combined with modified ischial spine fascia fixation on patients with pelvic organ prolapse (POP) and their postoperative quality of life.MethodsA total of 88 patients with POP and elective surgery admitted to Anqing Hospital affiliated to Anhui Medical University from March 2018 to March 2021 were retrospectively analyzed. According to their surgical methods, patients were divided into an observation group [44 cases, all underwent new-style anterior and posterior vaginal wall repair combined with modified ischial spine fascia fixation (new-style APVR-modified ISFF)] and a control group [44 cases, all underwent traditional anterior and posterior vaginal wall repair combined with sacrospinous ligament fixation (traditional APVR- SLF)]. The perioperative indicators were compared between the two groups. The pelvic floor function, pelvic organ prolapse quantification (POP-Q) classification, and quality of life were observed before operation, 3 months after operation, and 6 months after operation. All patients were followed-up.ResultsCompared with the control group, the observation group had more advantages in intraoperative blood loss, operation time, urinary catheter indwelling time, postoperative anal exhaust time, and hospitalization time (P < 0.05). In terms of pelvic floor function, patients of both groups showed significant improvement at 3 months and 6 months after surgery (P < 0.05). In terms of quality of life, the two groups exhibited significant improvement at 6 months after surgery (P < 0.05). PFIQ-7, PFDI-20, and UDI-6P of the observational group were lower than those of the control group, while PISQ-12 was higher than that of the control group but all with no significant difference (P > 0.005). In addition, the total complication rate of the observation group was 2.27% (1/44), which was significantly lower than 22.73% (10/44) of the control group (P < 0.05).ConclusionNew-style APVR-modified ISFF can effectively treat POP and improve the quality of life of such patients, with less postoperative complications and high safety. |
| first_indexed | 2024-04-11T10:29:39Z |
| format | Article |
| id | doaj.art-bf236f1874b84029a21147aacdd22032 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-11T10:29:39Z |
| publishDate | 2022-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-bf236f1874b84029a21147aacdd220322022-12-22T04:29:28ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-10-01910.3389/fsurg.2022.994615994615Effect of new-style anterior and posterior vaginal wall repair combined with modified ischial spine fascia fixation on patients with pelvic organ prolapse and their postoperative quality of lifeGensheng Wang0Shengju Zhou1Shuhua Wang2Dongdi Xu3Dan Wang4Hongling Xu5Chuanlong Gao6Qing Li7Department of Obstetrics and Gynecology, Anqing Hospital Affiliated to Anhui Medical University, Anqing, ChinaDepartment of Obstetrics and Gynecology, Anqing Hospital Huining Branch Affiliated to Anhui Medical University, Anqing, ChinaDepartment of Obstetrics and Gynecology, Qianshan Municipal Hospital, Qianshan, ChinaDepartment of Obstetrics and Gynecology, Anqing Hospital Affiliated to Anhui Medical University, Anqing, ChinaDepartment of Obstetrics and Gynecology, Anqing Hospital Affiliated to Anhui Medical University, Anqing, ChinaDepartment of Obstetrics and Gynecology, Anqing Hospital Affiliated to Anhui Medical University, Anqing, ChinaDepartment of Obstetrics and Gynecology, Anqing Hospital Affiliated to Anhui Medical University, Anqing, ChinaDepartment of Obstetrics and Gynecology, Anqing Hospital Affiliated to Anhui Medical University, Anqing, ChinaObjectiveThis study aims to explore the effect of new-style anterior and posterior vaginal wall repair combined with modified ischial spine fascia fixation on patients with pelvic organ prolapse (POP) and their postoperative quality of life.MethodsA total of 88 patients with POP and elective surgery admitted to Anqing Hospital affiliated to Anhui Medical University from March 2018 to March 2021 were retrospectively analyzed. According to their surgical methods, patients were divided into an observation group [44 cases, all underwent new-style anterior and posterior vaginal wall repair combined with modified ischial spine fascia fixation (new-style APVR-modified ISFF)] and a control group [44 cases, all underwent traditional anterior and posterior vaginal wall repair combined with sacrospinous ligament fixation (traditional APVR- SLF)]. The perioperative indicators were compared between the two groups. The pelvic floor function, pelvic organ prolapse quantification (POP-Q) classification, and quality of life were observed before operation, 3 months after operation, and 6 months after operation. All patients were followed-up.ResultsCompared with the control group, the observation group had more advantages in intraoperative blood loss, operation time, urinary catheter indwelling time, postoperative anal exhaust time, and hospitalization time (P < 0.05). In terms of pelvic floor function, patients of both groups showed significant improvement at 3 months and 6 months after surgery (P < 0.05). In terms of quality of life, the two groups exhibited significant improvement at 6 months after surgery (P < 0.05). PFIQ-7, PFDI-20, and UDI-6P of the observational group were lower than those of the control group, while PISQ-12 was higher than that of the control group but all with no significant difference (P > 0.005). In addition, the total complication rate of the observation group was 2.27% (1/44), which was significantly lower than 22.73% (10/44) of the control group (P < 0.05).ConclusionNew-style APVR-modified ISFF can effectively treat POP and improve the quality of life of such patients, with less postoperative complications and high safety.https://www.frontiersin.org/articles/10.3389/fsurg.2022.994615/fullanterior and posterior vaginal wall repairischial spine fascia fixationeffectpelvic organ prolapsepop |
| spellingShingle | Gensheng Wang Shengju Zhou Shuhua Wang Dongdi Xu Dan Wang Hongling Xu Chuanlong Gao Qing Li Effect of new-style anterior and posterior vaginal wall repair combined with modified ischial spine fascia fixation on patients with pelvic organ prolapse and their postoperative quality of life Frontiers in Surgery anterior and posterior vaginal wall repair ischial spine fascia fixation effect pelvic organ prolapse pop |
| title | Effect of new-style anterior and posterior vaginal wall repair combined with modified ischial spine fascia fixation on patients with pelvic organ prolapse and their postoperative quality of life |
| title_full | Effect of new-style anterior and posterior vaginal wall repair combined with modified ischial spine fascia fixation on patients with pelvic organ prolapse and their postoperative quality of life |
| title_fullStr | Effect of new-style anterior and posterior vaginal wall repair combined with modified ischial spine fascia fixation on patients with pelvic organ prolapse and their postoperative quality of life |
| title_full_unstemmed | Effect of new-style anterior and posterior vaginal wall repair combined with modified ischial spine fascia fixation on patients with pelvic organ prolapse and their postoperative quality of life |
| title_short | Effect of new-style anterior and posterior vaginal wall repair combined with modified ischial spine fascia fixation on patients with pelvic organ prolapse and their postoperative quality of life |
| title_sort | effect of new style anterior and posterior vaginal wall repair combined with modified ischial spine fascia fixation on patients with pelvic organ prolapse and their postoperative quality of life |
| topic | anterior and posterior vaginal wall repair ischial spine fascia fixation effect pelvic organ prolapse pop |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.994615/full |
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