{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T16:39:18Z","timestamp":1770741558699,"version":"3.49.0"},"reference-count":0,"publisher":"African Journals Online (AJOL)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Afr H. Sci."],"abstract":"<jats:p>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.\r\nMethods: 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.\r\nResults: (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 &lt; 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 &lt;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.\r\nConclusions: 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.\r\nKeywords: laparoscopy; total hysterectomy; vaginal stump; pelvic floor dysfunction.<\/jats:p>","DOI":"10.4314\/ahs.v24i4.15","type":"journal-article","created":{"date-parts":[[2025,3,7]],"date-time":"2025-03-07T14:30:58Z","timestamp":1741357858000},"page":"111-119","source":"Crossref","is-referenced-by-count":1,"title":["Modified first-level reconstruction and reinforcement during laparoscopic total hysterectomy for prevention of post-operative pelvic organ prolapse: a randomized clinical trial"],"prefix":"10.4314","volume":"24","author":[{"given":"Xiangru","family":"Chen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hongbo","family":"Gao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2895","published-online":{"date-parts":[[2025,1,11]]},"container-title":["African Health Sciences"],"original-title":[],"link":[{"URL":"https:\/\/www.ajol.info\/index.php\/ahs\/article\/download\/286063\/269511","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajol.info\/index.php\/ahs\/article\/download\/286063\/269511","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,7]],"date-time":"2025-03-07T14:32:07Z","timestamp":1741357927000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajol.info\/index.php\/ahs\/article\/view\/286063"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,11]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2025,1,11]]}},"URL":"https:\/\/doi.org\/10.4314\/ahs.v24i4.15","relation":{},"ISSN":["1729-0503","1680-6905"],"issn-type":[{"value":"1729-0503","type":"electronic"},{"value":"1680-6905","type":"print"}],"subject":[],"published":{"date-parts":[[2025,1,11]]}}}