Effect analysis of total laparoscopic hysterectomy plus vaginal top suspension in the treatment of uterine prolapse

Objective To investigate the therapeutic effect of total laparoscopic hysterectomy plus vaginal top suspension in the treatment of uterine prolapse. Methods Thirty cases of patients with procidentia combined with vaginal prolapse received the treatment of total laparoscopic hysterectomy plus vaginal top suspension. And a retrospective analysis of operation effect on 30 cases was conducted. Results All the operation time was in (117.9±11.9) minutes, bleeding volume was (120.5±21.9) mL, postoperative indwelling catheter time was (47 ±4) h, the length of stay was (6.9 ± 2.5) days. In 30 patients, no case occurred complication of urinary system and gastrointestinal injury. During the postoperative follow-up period for 0.50 to 1.25 years, no case occurred complication of vaginal prolapse or stress incontinence urine, and their sexual satisfaction were improved. Conclusion Total laparoscopic hysterectomy plus vaginal top suspension in the treatment of uterine prolapse has some advantages, such as more aggressive surgery, less postoperative painful, more significant effect, preventing complication, and improving physical quality and life quality.