Abstract:

Objective: To explore the application value of laparoscopic suspension and fixation of abdominal wall in female pelvic
floor reconstruction surgery. Methods: A total of 30 patients with pelvic floor dysfunction treated in the First People's Hospital of Dali
City from January 2015 to December 2017 were selected as the research objects. All the patients were treated with pelvic floor
reconstruction surgery using laparoscopic suspension and fixation of abdominal wall. The pelvic floor functions and quality of life
before and after surgery were analyzed retrospectively. Results: The average time of operation was（150.43±53.65) min, the average
amount of bleeding during surgery was（87.2±51.3）mL, the time of indwelling urinary catheter was（5.63±0.81）d, and average length
of hospitalization was（7.28 ± 1.23）d. All the 30 patients were successfully cured. No significant complications and recurrence
occurred during and after the operation. Compared with pre-operation, there were statistically significant differences in POP-Q scores
six months after surgery and one year after surgery （P<0.05）. Compared with pre-operation, POPDI-6 score, PISQ-12 score and
PFDI-20 score of six months after surgery were significantly lower（all P<0.01）; CRADI-8 score, UDI-6 score of six months after
surgery showed statistically significant differences in compared with that before surgery（all P<0.05）. Conclusion: Laparoscopic
suspension and fixation of abdominal wall is safe and easy to operate, clinical effect is significant, injury is small, recovery is fast, and it
is worthy of clinical application.

Key words: pelvic floor reconstruction, suspension and fixation of abdominal wall, laparoscope, pelvic organ prolapse