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02 December 2021, Volume 37 Issue 12 Previous Issue    Next Issue

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Re-recognition of the value of classic transvaginal reconstructive surgery by native tissue in the treatment of female pelvic organ prolapse. HUANG Qiong, ZHONG Shuang-shuang, XIE Zhen-wei 2021, 37(12): 1184-1187.  DOI: 10.19538/j.fk2021120103 Abstract ( )   Pelvic organ prolapse（POP）is downward descending of the pelvic organs due to the weakness of pelvic floor supporting tissues. Transvaginal surgery aimed to strengthen the supporting tissues is a main treatment for severe POP. Due to the controversial use of synthetic mesh in POP patients in recent years，transvaginal reconstructive surgery by native tissue repair has been given attention again. Full understanding of the subjective and objective effects，recurrence risk，complications and related influencing factors of anatomical reduction and functional reconstruction of surgeries will help clinicians in the correct evaluation and selection of anti-POP procedures.

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Management of complications and curative effect of sacrospinous ligament complex fixation.  ZHANG Wei, WANG Jing-tao 2021, 37(12): 1187-1191.  DOI: 10.19538/j.fk2021120104 Abstract ( )   Female pelvic organ prolapse（pelvic organ prolapse，POP）is a common pelvic floor dysfunction disease.With the increase of the world's and China's aging population，POP has become one of the most common chronic diseases. Many gynecologic oncologists and scholars around the world are devoted to studying the application of sacrospinous ligament complex fixation in female patients with pelvic organ prolapse. Based on the results of multiple single-center studies，it has been found that this technique can improve the patients' urination function and pelvic dysfunction，with fewer complications and higher safety. This article will focus on the application of sacrospinous ligament complex fixation in POP patients as well as its  effect and the diagnosis and management of complications.

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Value of native tissue suturing and fixation in the treatment of female central compartment defect.  CHEN Yi-wen, WU Xiao-mei 2021, 37(12): 1191-1194.  DOI: 10.19538/j.fk2021120105 Abstract ( )   Vaginal vault prolapse repair is one of the core steps of pelvic floor repair surgery. Vault repair can reduce the postoperative recurrence rate and correct most of the paravaginal defects. The serious adverse event rates in the classical uterosacral ligament suspension（ULS）and sacrospinous ligament fixation（SSLF）were 16.5% and 16.7%，respectively. The application of sacral suspension，a standard operation，has been affected in China due to complications after the use of mesh. Due to the complexity of pelvic floor anatomy and the importance of vault repair, there is still a lack of ideal surgery，which has long been a research focus.Native tissue floor repair surgery plays an important role in the field of pelvic floor repair surgery because of its long-term clinical observation and good effect verification. This paper will discuss the value of major native tissue vault repair surgery in the treatment of central compartment prolapse in recent years.

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Therapeutic effect of LeFort partial colpocleisis on elderly patients with pelvic organ prolapse.  XU Zhen, WANG Wu-liang 2021, 37(12): 1194-1198.  DOI: 10.19538/j.fk2021120106 Abstract ( )   LeFort partial colpocleisis is an important surgical procedure for the elderly patients with severe pelvic organ prolapse（POP）who are infirm，have poor ability to tolerate surgery and do not require the preservation of sexual function.The operation is simple，safe and economical，and has unique advantages and indispensable status. This classic operation has a certain recurrence rate and complications such as de novo urinary incontinence after surgery. WANG Wu-liang's team made technical improvements in view of the problems existing in LeFort surgery，and innovatively applied the modified LeFort partial colpocleisis based on the reinforcement of pubocervical fascia and rectovaginal fascia，which had high subjective and objective cure rates and fewer complications and was worth recommending.

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Application of laparoscopic native tissue repair in correcting female pelvic floor organ prolapse.  ZHAO Cheng-zhi, LU Shen-tao, WANG Ying, WEI Lin-na, LIU Lu-bin 2021, 37(12): 1198-1202.  DOI: 10.19538/j.fk2021120107 Abstract ( )   Laparoscopic surgery is widely used in the field of gynecology. Recently，it is also widely used in the diagnosis and treatment of female pelvic floor dysfunction diseases. Under the background of limited transvaginal mesh repair，pelvic floor reconstruction with native tissue has been paid more attention to again. Most of the clinical native tissue repair operations are transvaginal，and few are reported in laparoscopic ones. However，with the popularization of laparoscopic technology，equipment and robotic laparoscopic surgery，laparoscopic pelvic floor reconstruction will be further developed. This paper summarizes the laparoscopic native repair surgery，so as to provide reference for gynecologists to choose the operation methods.

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Application of high uterosacral ligament suspension in pelvic floor reconstruction. SONG Jiao-yang, SUN Xiu-li 2021, 37(12): 1202-1205.  DOI: 10.19538/j.fk2021120108 Abstract ( )   Surgical treatment is the main therapeutic method for advanced pelvic organ prolapse（POP）. Post-operative recurrence is the major concern for clinicians. Clinical studies have shown that inadequate apical reinforcement is the major risk factor for recurrence. As one of the classic procedures for level Ⅰ suspension，high uterosacral ligament suspension（HUS）has the advantages of providing strong support for the apex，resulting in adequate vaginal length and physiological vaginal axis. HUS can be performed abdominally or vaginally. Trans-vaginal HUS is more convenient than abdominal route in terms of simultaneous vaginal repair，but its clinical application is limited by difficult exposure and risk of ureteral injury. Extraperitoneal high sacral ligament suspension（EHUS）can clearly identify uterosacral ligament and decrease the risk of ureter injury，and it is easy to perform. Its short-term anatomical outcome is good，while the long-term efficacy needs further clinical study.

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Application of plication operation of urethra combined with midurethral pubic suspension in the treatment of stress urinary incontinence.  ZHOU Li, YIN Mi-nuo, LU An-wei 2021, 37(12): 1205-1208.  DOI: 10.19538/j.fk2021120109 Abstract ( )   Stress urinary incontinence is a common disease in women，and surgical treatment plays an important role in the treatment of moderate and severe stress urinary incontinence. Due to the occurrence of sling-related complications，the traditional operation for urinary incontinence has attracted more and more attention. In this paper，the methods of surgical treatment for urinary incontinence were reviewed，and the methods of plication operation of urethra combined with midurethral pubic suspension in the surgical treatment of stress urinary incontinence were introduced，and the related problems were discussed.