Comparison of the surgical outcomes between paravaginal repair and anterior colporrhaphy: A retrospective case-control study.

Autor:	Chen PC; Department of Obstetrics and Gynecology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation and Tzu Chi University, Hualien, Taiwan., Tsui WL; Department of Obstetrics and Gynecology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation and Tzu Chi University, Hualien, Taiwan., Ding DC; Department of Obstetrics and Gynecology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation and Tzu Chi University, Hualien, Taiwan.; Institute of Medical Sciences, Tzu Chi University, Hualien, Taiwan.
Jazyk:	angličtina
Zdroj:	Tzu chi medical journal [Tzu Chi Med J] 2024 Apr 24; Vol. 36 (4), pp. 412-417. Date of Electronic Publication: 2024 Apr 24 (Print Publication: 2024).
DOI:	10.4103/tcmj.tcmj_237_23
Abstrakt:	Objectives: This study compared the surgical outcomes of anterior vaginal wall repair (A-repair) and paravaginal repair (PVR) for laparoscopic pelvic organ prolapse (POP) surgeries. Materials and Methods: This retrospective case-control study recruited patients who underwent laparoscopic POP surgeries in our hospital from May 1, 2013, to May 31, 2022, using the health insurance surgical code payment system (laparoscopic colpopexy/hysteropexy/cervicopexy: 80025B) in Taiwan. The patients were divided into A-repair (group 1) and PVR (group 2). Patients aged <20 years, without postoperative outcomes, and without baseline characteristics were excluded. Baseline characteristics (age, menopausal status, parity, diabetes mellitus, and hypertension) were collected. The outcome was to compare the changes in Pelvic Organ Prolapse Quantification (POP-Q) scores (Aa, Ba, and total vaginal length) preoperatively and 1-2 months, 3-6 months, and 1 year postoperatively in the two groups. Results: After exclusion, 23 and 10 patients in A-repair and PVR, respectively, were recruited. There was no significant difference in baseline characteristics between the two groups. Patients in both groups showed significant improvement in Aa and Ba of POP-Q 1-2 months and 3-6 months postoperatively, except for those in group 2 1 year postoperatively. However, there was no significant difference in postoperative scores between the two groups at 1-2 months, 3-6 months, and 1 year postoperatively. The estimated blood loss did not exhibit a significant difference between the two groups; however, PVR had a longer duration of operation. Conclusion: The surgical outcomes of A-repair and PVR for the anterior compartment were comparable at 1-2 months, 3-6 months, and 1 year postoperatively. Competing Interests: Dr. Dah-Ching Ding, an editorial board member at Tzu Chi Medical Journal, had no role in the peer review process of or decision to publish this article. The other authors declared no conflicts of interest in writing this paper. (Copyright: © 2024 Tzu Chi Medical Journal.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu