3. NGHIÊN CỨU CÁC YẾU TỐ LIÊN QUAN VÀ KẾT QUẢ ĐIỀU TRỊ SA TẠNG CHẬU BẰNG PHẪU THUẬT NỘI SOI TẠI BỆNH VIỆN PHỤ SẢN THÀNH PHỐ CẦN THƠ

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.