Introduction and hypothesis

We aimed to clarify the frequency of cul-de-sac obliteration in patients undergoing POP surgery.

Methods

We retrospectively reviewed patients who underwent laparoscopic POP surgery at our hospital between April 2017 and September 2021.

Results

In total, 191 cases were included in the analysis. Ten patients (5.2%) had cul-de-sac obliteration. No difference in age (73 years vs. 72 years, P = 0.99), parity (2 vs. 2, P = 0.64), or body mass index (BMI) (25.7 kg/m² vs. 24.7 kg/m², P = 0.34) was observed between the cul-de-sac obliteration and normal groups. No significant differences were observed in the rate of previous abdominal surgery (50.0% vs. 32.6%, P = 0.46), rate of POP – quantification system (POP-Q) ≥ 2 posterior prolapse (40.0% vs. 46.4%, P = 0.98), and effect of defecation symptoms on the prolapse quality of life (p-QOL) score (vaginal bulge emptying bowels: 2.5 vs. 3.5, P = 0.15; empty bowel feeling: 3 vs. 3, P = 0.72, constipation: 3.5 vs. 3, P = 0.58; straining to open bowels: 3.5 vs. 3, P = 0.82; empty bowels with fingers: 1 vs. 1, P = 0.55) between the cul-de-sac obliteration and normal groups. Multivariate analysis of risk factors for the cul-de-sac obliteration was performed for age, number of births, previous abdominal surgery, and presence of rectocele; however no significant risk factors were extracted.

Conclusion

Predicting cul-de-sac obliteration preoperatively in patients undergoing POP surgery based on age, number of previous surgeries, previous abdominal surgeries, rectocele, and defecation symptoms is difficult.

中文翻译：

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盆腔器官脱垂手术中死腔闭塞的频率：回顾性分析

引言和假设

我们的目的是明确接受 POP 手术的患者死胡同闭塞的频率。

方法

我们回顾性分析了2017年4月至2021年9月期间在我院接受腹腔镜POP手术的患者。

结果

分析中总共纳入了 191 个案例。 10 名患者（5.2%）出现死胡同闭塞。年龄（73 岁 vs. 72 岁，P = 0.99）、胎次（2 vs. 2，P = 0.64）或体重指数（BMI）（25.7 kg/m ² vs. 24.7 kg/m ²， P = 0.34）在死胡同消除组和正常组之间观察到。既往腹部手术发生率（50.0% vs. 32.6%，P=0.46）、POP-量化系统（POP-Q）≥2后脱垂率（40.0% vs. 46.4%，P=0.46）无显着差异。 0.98），以及排便症状对脱垂生活质量（p-QOL）评分的影响（阴道膨隆排空肠：2.5 vs. 3.5，P = 0.15；空肠感：3 vs. 3，P = 0.72，便秘： 3.5 vs. 3，P = 0.58；用力排便：3.5 vs. 3，P = 0.82；用手指排空肠道：1 vs. 1，P = 0.55）。对年龄、出生次数、既往腹部手术史以及是否存在直肠前突等因素进行了死腔闭塞危险因素的多变量分析；然而，没有提取出显着的风险因素。

结论

根据年龄、既往手术次数、既往腹部手术、直肠前突和排便症状来预测接受 POP 手术的患者的死胡同闭塞是很困难的。