Trial reportAfrican health sciences2024
Modified first-level reconstruction and reinforcement during laparoscopic total hysterectomy for prevention of post-operative pelvic organ prolapse: a randomized clinical trial.
Trial report in African health sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Editor's choice: Infections, sexual reproductive health and non-communicable diseases.African health sciences · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: This paper investigated that the clinical value of modified first-level reconstruction reinforcement in the prevention and treatment of pelvic floor dysfunction after laparoscopic total hysterectomy. Methods: A total of 360 patients undergoing laparoscopic total hysterectomy from December 2018 to September 2021 were selected and divided into three groups (A, B, C) according to POP-Q criteria: This is a randomized clinical trial in which women with first- and second-degree pelvic organ prolapse, and women without pelvic organ prolapse were each randomized into 3 arms of the study. According to the informed consent of patients, three groups are as following: Arm 1: 60 cases in the non-suspension group (vaginal stump was only sutured continuous absorbable suture); Arm 2: 60 cases in traditional suspension group (as in Arm 1, plus suspension of vaginal stump with non-absorbable sutures to cardinal and round ligaments); Arm 3: 60 cases in the modified suspension group (vaginal stump reinforced with horizontal reconstruction). POP-Q score, sexual life quality questionnaire, urinary incontinence questionnaire and pelvic floor ultrasound were compared before and at 6 and 12 months after operation. Results: (1) in the non-prolapse group and the prolapse group, the POP-Q score of the modified suspension group c was superior to that of the non-suspension group and the traditional suspension group b at 6 and 12 months after surgery (P < 0.05), and the postoperative POP-Q score of the prolapse group was significantly improved compared with that before surgery. (2) In both the non-prolapse and the prolapse study groups, the participants that were randomized to the modified suspension treatment (arm 3) had significantly better sexual function scores than those in arm 1 and arm 2 six and twelve months after surgery (p <0.05). (3) Similarly, participants in both the non-prolapse and the prolapse groups that were randomized to the modified suspension treatment arm (arm 3) were significantly less prone to. urinary incontinence than those randomized to arm 1 and arm 2 at 6 and 12 months after surgery. Conclusions: Compared with traditional vaginal stump suture and traditional vaginal stump suspension, the modified first-level reconstruction and consolidation method can effectively prevent and cure pelvic floor dysfunction after laparoscopic total hysterectomy, and significantly improve the quality of life of patients.
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