2011Zhongguo jiceng yiyaoRequires access

Improved mesh pelvic reconstruction in treatment of Female Pelvic organ prolapse

Li-xian Zhou, Jia-ping Mao, Yueping Tao

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Abstract

Objective To explore the modified mesh in female pelvic floor reconstruction for pelvic organ prolapse and clinical effects of the application. Methods 78 patients with pelvic organ prolapse, line modified mesh pelvic floor reconstruction surgery( study group) and vaginal hysterectomy and vaginal repair of anterior and posterior wall( control group) treatment, clinical efficacy was compared. Results The mean operating time, blood loss, average body temperature, catheter indwelling time, residual urine volume, and postoperative hospital stay showed no significant difference( P 〉 0.05 ). No postoperative infection, vaginal hematoma, mesh erosion occurred. Two groups of patients before discharge degree of POP-Q points are 0° or I degree ,to cure the standard. Vaginal length of the control group was significantly shorter than after treatment (P 〈 0.05 ), while no significant change in the observation group ( P 〉 0. 05). Control group, the recurrence rate was significantly higher than the observation group ( P 〈 0.05 ), while the observation group of sexual satisfaction was better than the control group ( P 〈 0.05 ). Conclusion The modified mesh treatment of female pelvic floor reconstruction is an effective method of pelvic organ prolapse,the surgical curative effect is better,the recurrence rate is lower,worthy of clinical application. Key words: Pelvic organ prolapse ;  mesh ;  pelvic floor reconstruction

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What this paper is about

Objective To explore the modified mesh in female pelvic floor reconstruction for pelvic organ prolapse and clinical effects of the application. Methods 78 patients with pelvic organ prolapse, line modified mesh pelvic floor reconstruction surgery( study group) and vaginal hysterectomy and vaginal repair of anterior and posterior wall( control group) treatment, clinical efficacy was compared. Results The mean operating time, blood loss, average body temperature, catheter indwelling time, residual urine volume, and postoperative hospital stay showed no significant difference( P 〉 0.05 ). No postoperative infection, vaginal hematoma, mesh erosion occurred. Two groups of patients before discharge degree of POP-Q points are 0° or I degree ,to cure the standard. Vaginal length of the control group was significantly shorter than after treatment (P 〈 0.05 ), while no significant change in the observation group ( P 〉 0. 05). Control group, the recurrence rate was significantly higher than the observation group ( P 〈 0.05 ), while the observation group of sexual satisfaction was better than the control group ( P 〈 0.05 ). Conclusion The modified mesh treatment of female pelvic floor reconstruction is an effective method of pelvic organ prolapse,the surgical curative effect is better,the recurrence rate is lower,worthy of clinical application. Key words: Pelvic organ prolapse ;  mesh ;  pelvic floor reconstruction

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Available abstract

Objective To explore the modified mesh in female pelvic floor reconstruction for pelvic organ prolapse and clinical effects of the application. Methods 78 patients with pelvic organ prolapse, line modified mesh pelvic floor reconstruction surgery( study group) and vaginal hysterectomy and vaginal repair of anterior and posterior wall( control group) treatment, clinical efficacy was compared. Results The mean operating time, blood loss, average body temperature, catheter indwelling time, residual urine volume, and postoperative hospital stay showed no significant difference( P 〉 0.05 ). No postoperative infection, vaginal hematoma, mesh erosion occurred. Two groups of patients before discharge degree of POP-Q points are 0° or I degree ,to cure the standard. Vaginal length of the control group was significantly shorter than after treatment (P 〈 0.05 ), while no significant change in the observation group ( P 〉 0. 05). Control group, the recurrence rate was significantly higher than the observation group ( P 〈 0.05 ), while the observation group of sexual satisfaction was better than the control group ( P 〈 0.05 ). Conclusion The modified mesh treatment of female pelvic floor reconstruction is an effective method of pelvic organ prolapse,the surgical curative effect is better,the recurrence rate is lower,worthy of clinical application. Key words: Pelvic organ prolapse ;  mesh ;  pelvic floor reconstruction

Key concepts: Medicine, Surgery, Pelvic floor, Pelvic cavity, Urology

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