Efficacy analysis of v-NOTES sacrospinous ligament fixation in the treatment of pelvic organ prolapse

WANG Xiangmei; WANG Yan; DING Jin

doi:10.3969/j.issn.2095-8331.2024.05.007

Abstract：Objective To investigate the feasibility and advantages of v-NOTES sacrospinous ligament fixation for the treatment of pelvic organ prolapse(POP).Methods One hundred and ten patients with POP were selected for the study from January 2021 to August 2022 and randomly divided into the study group and the control group.v-NOTES sacrospinous ligament fixation was performed in the study group,and traditional transvaginal hysterectomy+high uterosacral ligament suspension was performed in the control group.The operation time(min),intraoperative bleeding(mL),postoperative hospitalization time(d),complications and cure rate were recorded.The outpatient follow up for subjective feelings(PFDI-20 and PFIQ-7 scores)and objective indicators(POP-Q staging)was conducted for postoperative periods of 1,6,12 and 24 months.Results All 110 surgeries were successfully performed without intraoperative complications.In the study group,the average operation time was(102.24±10.62)min,the average intraoperative bleeding was(143.27±79.13)mL,and the average number of days of hospitalization after surgery was(5.77±1.42)days.The patients had no recurrence of vaginal prolapse in the postoperative follow-ups at 1,6,12,and 24 months,and the POP-Q,PFDI-20 and PFIQ-7 scores improved significantly compared with those before surgery.Compared with the control group,the duration of surgery was prolonged in the study group(P<0.05).The Ba point and C point of the study group improved significantly compared with the control group at 12 months after surgery,and the difference was statistically significant.Conclusion v-NOTES sacrospinous ligament fixation is a safe and feasible surgical procedure that can precisely expose and suture the sacrospinous ligament with reliable short-term efficacy.