Effect of transabdominal anterior rectus sheath suspension in treatment of prolapse of pelvic organs

  Objective  To explore the clinical effect of anterior rectus sheath suspension in treatment of prolapse of pelvic organs.

  Methods  A total of 30 patients with pelvic organ prolapse in our hospital were included in our study, and were treated by transabdominal anterior rectus sheath suspension. The changes of postoperative staging and life quality were compared after 12-month follow-up.

  Results  Pelvic organ prolapse quantitation(POP-Q) results showed that the distances from hymen to the following points, such as the 3 cm point from medline of vaginal anterior wall to hymen(Aa point), the farthest point of anterior wall of the vagina from apex or anterior fornix of the vagina to Aa point (Ba point), the farthest point of the vagina top after cervical resection or hysterectomy(C point), position of posterior fornix in the presence of cervix (D point), 3 cm point from medline of vaginal posterior wall to hymen(Ap point), the farthest point of vaginal posterior wall of the vagina from apex or posterior fornix of the vagina to Ap point (Bp point)at postoperative 6 and 12 months showed significant differences compared with operation before(P < 0.05). The effective rate at 12 months after operation was 85.71%.

  Conclusion  Transabdominal anterior rectus sheath suspension is an effective, reliable and safe method in the treatment of prolapse of pelvic organs, and it is an easily operated surgery.