Evidence map›Paper›PMID 25945021›Full record

SynthesisWorld journal of gastroenterology2015

Anterior rectopexy for full-thickness rectal prolapse: Technical and functional results.

Jean-Luc Faucheron, Bertrand Trilling, Edouard Girard, Pierre-Yves Sage, Sandrine Barbois, Fabian Reche

Registry-linked trialOpen access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in World journal of gastroenterology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04627610 (Rate of Recurrence of Dyschezia in Rectal Prolapse, Rectocele and Elytrocele at 10 Years and Over After Rectopexy Intervention.), which is not on this map. Cited by 42 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 3 pooled it
9.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04627610 completednot on this mapstarted 2022, after this paper: background citation

Rate of Recurrence of Dyschezia in Rectal Prolapse, Rectocele and Elytrocele at 10 Years and Over After Rectopexy Intervention.

TypeobservationalSponsorUniversity Hospital, GrenobleRan2022 to 2023Enrolled350ConditionsRectal ProlapseArmsRectal prolapse, rectocele and elytrocele
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 3 syntheses or guidelines pooled it, 81 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Update on Robotic Rectal Prolapse Treatment.Journal of personalized medicine · 2021
    Review
  14. Redo ventral rectopexy: is it worthwhile?Techniques in coloproctology · 2021
    Article
  15. Article
  16. Article
  17. Transvaginal rectopexy using the FlexTechniques in coloproctology · 2020
    Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Jean-Luc FaucheronJean-Luc Faucheron, Bertrand Trilling, Edouard Girard, Pierre-Yves Sage, Sandrine Barbois, Fabian Reche, Colorectal Unit, Department of Surgery, University Hospital, 38043 Grenoble cedex, France.
Bertrand TrillingJean-Luc Faucheron, Bertrand Trilling, Edouard Girard, Pierre-Yves Sage, Sandrine Barbois, Fabian Reche, Colorectal Unit, Department of Surgery, University Hospital, 38043 Grenoble cedex, France.
Edouard GirardJean-Luc Faucheron, Bertrand Trilling, Edouard Girard, Pierre-Yves Sage, Sandrine Barbois, Fabian Reche, Colorectal Unit, Department of Surgery, University Hospital, 38043 Grenoble cedex, France.
Pierre-Yves SageJean-Luc Faucheron, Bertrand Trilling, Edouard Girard, Pierre-Yves Sage, Sandrine Barbois, Fabian Reche, Colorectal Unit, Department of Surgery, University Hospital, 38043 Grenoble cedex, France.
Sandrine BarboisJean-Luc Faucheron, Bertrand Trilling, Edouard Girard, Pierre-Yves Sage, Sandrine Barbois, Fabian Reche, Colorectal Unit, Department of Surgery, University Hospital, 38043 Grenoble cedex, France.
Fabian RecheJean-Luc Faucheron, Bertrand Trilling, Edouard Girard, Pierre-Yves Sage, Sandrine Barbois, Fabian Reche, Colorectal Unit, Department of Surgery, University Hospital, 38043 Grenoble cedex, France.
Translational Innovation in Medicine and Complexity · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo assess effectiveness, complications, recurrence rate, and recent improvements of the anterior rectopexy procedure for treatment of total rectal prolapse.

methodsMEDLINE, PubMed, EMBASE, and other relevant database were searched to identify studies. Randomized controlled trials, non-randomized studies and original articles in English language, with more than 10 patients who underwent laparoscopic ventral rectopexy for full-thickness rectal prolapse, with a follow-up over 3 mo were considered for the review.

resultsTwelve non-randomized case series studies with 574 patients were included in the review. No surgical mortality was described. Conversion was needed in 17 cases (2.9%), most often due to difficult adhesiolysis. Twenty eight patients (4.8%) presented with major complications. Seven (1.2%) mesh-related complications were reported. Most frequent complications were urinary tract infection and urinary retention. Mean recurrence rate was 4.7% with a median follow-up of 23 mo. Improvement of constipation ranged from 3%-72% of the patients and worsening or new onset occurred in 0%-20%. Incontinence improved in 31%-84% patients who presented fecal incontinence at various stages. Evaluation of functional score was disparate between studies.

conclusionBased on the low long-term recurrence rate and favorable outcome data in terms of low de novo constipation rate, improvement of anal incontinence, and low complications rate, laparoscopic anterior rectopexy seems to emerge as an efficient procedure for the treatment of patients with total rectal prolapse.

Indexed as

ConstipationDigestive System Surgical ProceduresFecal IncontinenceHumansLaparoscopyPostoperative ComplicationsRecovery of FunctionRectal ProlapseRecurrenceRisk FactorsTime FactorsTreatment OutcomeAnterior rectopexyLaparoscopyRecurrenceResultsSystematic reviewTotal rectal prolapseVentral rectopexy

Identifiers

PMID25945021
PMCPMC4408480
OpenAlexW2334173139

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.