Department of Obstetrics and Gynecology, Ankara City Hospital (MH5), , Bilkent/Ankara, Turkey.
Department of Biostatistics, Hacettepe University, Ankara, Turkey.
BMC Womens Health. 2024 Aug 29;24(1):474. doi: 10.1186/s12905-024-03317-3.
Recently, natural tissue repair has become popular in the treatment of pelvic organ prolapsed. In this study, we compared patients who underwent cystocele repair with the rug-weaving plication technique, a natural tissue repair method implemented since 2022 for anterior prolapse, with those treated using conventional colporrhaphy.
We retrospectively reviewed the data of 65 patients who underwent anterior vaginal wall repair with the rug-weaving plication technique (n = 33, Group 1) or conventional colporrhaphy (n = 32, Group 2). We recorded the patients' clinicodemographic and surgical data. At the 6-month postoperative follow-up, we assessed patients' complaints, degree of prolapse (using the simplified Pelvic Organ Prolapse Quantification system), and pelvic floor muscle strength (using the Modified Oxford Score). Anterior vaginal wall thickness was measured using transvaginal ultrasonography. We compared clinicodemographic and surgical data and postoperative outcomes between the two groups.
The two groups were comparable in terms of age (p = 0.326), number of pregnancies (p = 0.307), number of parities (p = 0.555), preoperative anterior wall simplified Pelvic Organ Prolapse Quantification grade (p = 0.380), preoperative apical prolapse simplified Pelvic Organ Prolapse Quantification grade (p = 0.518), postoperative Modified Oxford Score (p = 0.857), operation time (p = 0.809), postoperative haemoglobin (p = 0.674), and amount of bleeding (p = 0.951). Compared with Group 2, Group 1 had significantly higher postoperative anterior vaginal wall thickness (p < 0.001) and significantly lower postoperative anterior wall simplified Pelvic Organ Prolapse Quantification grade (p < 0.001).
The rug-weaving plication technique may offer a viable alternative for cystocele repair without mesh, using natural tissue and potentially reducing mesh-related complications and recurrence rates.
NCT06410469 (03/05/2024).
最近，自然组织修复在治疗盆腔器官脱垂方面变得流行。在这项研究中，我们比较了 2022 年以来采用 rug-weaving 折叠技术（一种用于前位脱垂的自然组织修复方法）治疗的膀胱膨出患者与采用传统阴道前壁修补术治疗的患者。
我们回顾性分析了 65 例采用 rug-weaving 折叠技术（n=33，第 1 组）或传统阴道前壁修补术（n=32，第 2 组）治疗的前阴道壁修复患者的数据。记录患者的临床和手术数据。在术后 6 个月的随访中，评估患者的症状、脱垂程度（简化盆腔器官脱垂量化系统）和盆底肌肉力量（改良牛津评分）。使用经阴道超声测量前阴道壁厚度。比较两组的临床和手术数据及术后结果。
两组在年龄（p=0.326）、妊娠次数（p=0.307）、产次（p=0.555）、术前前壁简化盆腔器官脱垂量化分级（p=0.380）、术前顶脱垂简化盆腔器官脱垂量化分级（p=0.518）、术后改良牛津评分（p=0.857）、手术时间（p=0.809）、术后血红蛋白（p=0.674）和出血量（p=0.951）方面无统计学差异。与第 2 组相比，第 1 组术后前阴道壁厚度明显增加（p<0.001），术后前壁简化盆腔器官脱垂量化分级明显降低（p<0.001）。
与使用网片的传统阴道前壁修补术相比，rug-weaving 折叠技术可能是一种可行的无网片膀胱膨出修复方法，使用天然组织，可能降低网片相关并发症和复发率。
NCT06410469（2024 年 03 月 05 日）。
