Articles Vol. 66 No. CĐ4-NCKH 15/04/2025

3. RELATED FACTORS AND TREATMENT OUTCOMES OF OF PELVIC ORGAN PROLAPSE USING LAPAROSCOPICS SURGERY AT CAN THO OBSTETRICS AND GYNECOLOGY HOSPITAL

Ha Ngo Ngoc1,2, Ngoc Trinh Hoai3,4, Tuan Nguyen Quoc1,2, Nguyet Do Thi Minh3,4
1 Can Tho University of Medicine Pharmacy
2 Trường Đại học Y Dược Cần Thơ
3 Can Tho Gynecology Obstetrics Hospital
4 Bệnh viện Phụ Sản thành phố Cần Thơ
Corresponding author: Ngngha98@gmail.com.vn
DOI: 10.52163/yhc.v66iCD4.2320
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Abstract

Objective: Description of related factors and evaluation of treatment outcomes of pelvic organ prolapse using laparoscopic surgery with synthetic mesh placement at Can Tho Gynecology Obstetrics Hospital  from 4/2023 to 12/2024.

Material and methods: A cross-sectional descriptive study was conducted on 46 patients diagnosed with pelvic organ prolapse of stage III or higher. The patients underwent laparoscopic surgery with synthetic mesh placement at Can Tho Gynecology Obstetrics Hospital. Treatment outcomes were then assessed at 6 weeks and 3 months postoperatively in terms of anatomical structural improvement and quality of life using the PFDI-20.

Results: The mean age was 63.5 ± 6.82 years, with 93.5% of patients being postmenopausal, the average number of deliveries was 3.39 times. The success rate was 97.8%, with an average operative time of 93.57 ± 21.92 minutes and an estimated blood loss of 62.83 ± 30.53 ml. Postoperative complications included surgical site infection 2.2%, bleeding 6.5%, sacral pain 2.2%. Quality of life improved significantly, with PFDI-20 scores decreasing from 128.85 preoperatively to 63.09 postoperatively.

Conclusion: Pelvic organ prolapse is commonly observed in elderly, postmenopausal women with a history of multiple vaginal deliveries and chronic increased intra-abdominal pressure. Laparoscopic surgery with synthetic mesh placement for the treatment of pelvic organ prolapse is a safe procedure with a high success rate, minimal complications, and low risk of adverse events. It effectively reduces the severity of prolapse and improves patients' quality of life.

Keywords
Pelvic organ prolapse laparoscopic sacrocolpopexy quality of life PFDI-20 score
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