Evidence map›Paper›PMID 27250828›Full record

Trial reportInternational urogynecology journal2016

Anatomical and functional changes to the pelvic floor after robotic versus laparoscopic ventral rectopexy: a randomised study.

Johanna K Mäkelä-Kaikkonen, Tero T Rautio, Sari Koivurova, Eija Pääkkö, Pasi Ohtonen, Fausto Biancari, Jyrki T Mäkelä

Abstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International urogynecology journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 4 pooled it
3.6field-weighted citation impact, top 8% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 4 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. 2025 Delphi consensus on robotic ventral mesh rectopexy.International journal of colorectal disease · 2025
    Guideline
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  7. The influence of sacrocolporectopexy on pelvic anatomy assessed in an upright position using MRI.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025
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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

7 authors at 2 institutions in 1 country.

Johanna K Mäkelä-KaikkonenDepartment of Surgery, Division of Gastroenterological Surgery, Oulu University Hospital, PL 21, 90029 OYS, Oulu, Finland. johanna.makela-kaikkonen@ppshp.fi.
Tero T RautioDepartment of Surgery, Division of Gastroenterological Surgery, Oulu University Hospital, PL 21, 90029 OYS, Oulu, Finland.
Sari KoivurovaDepartment of Obstetrics and Gynecology, University Hospital of Oulu, Oulu, Finland.
Eija PääkköDepartment of Radiology, University Hospital of Oulu, Oulu, Finland.
Pasi OhtonenDepartment of Surgery, Division of Gastroenterological Surgery, Oulu University Hospital, PL 21, 90029 OYS, Oulu, Finland.
Fausto BiancariDepartment of Surgery, Division of Gastroenterological Surgery, Oulu University Hospital, PL 21, 90029 OYS, Oulu, Finland.
Jyrki T MäkeläDepartment of Surgery, Division of Gastroenterological Surgery, Oulu University Hospital, PL 21, 90029 OYS, Oulu, Finland.
Oulu University Hospital · FIUniversity of Oulu · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisTo compare the effect of laparoscopic and robot-assisted ventral rectopexy for posterior compartment procidentia on the pelvic floor anatomy and function.

methodsA prospective randomised single-centre study was carried out of 29 female patients, who underwent robot-assisted or laparoscopic ventral mesh rectopexy for external or internal rectal prolapse with symptoms of obstructive defecation and/or faecal incontinence. Anatomical changes were measured by Pelvic Organ Prolapse Quantification (POP-Q) and magnetic resonance defecography. Functional changes were evaluated using symptom questionnaires before and 3 months after surgery.

resultsAfter rectopexy, changes in POP-Q measurements were statistically significant for points Ap, Bp, C, D and Ba. The descent of the anorectum and cervix/vaginal cuff during straining were significantly reduced with regard to the reference line (mean, -10.4 ± 14.9 mm, p = 0.001) and (-13.3 ± 18.1 mm, p < 0.001) respectively. Pelvic organ mobility (POM) was reduced statistically significantly for the posterior (mean, -16.6 ± 20.8 mm, p < 0.001) and apical compartments (mean, -13.1 ± 14.8, p < 0.001). The PFDI-20, PFIQ-7 and PISQ-12 questionnaires showed statistically significant improvement of symptoms and sexual function. No significant differences were observed between the robot-assisted and laparoscopic techniques in terms of anatomical or functional parameters.

conclusionVentral mesh recto-colpo-sacropexy effectively corrects the anatomy of the posterior compartment, elevates the vaginal apex and reduces pelvic organ mobility of the posterior and middle compartments. The robot-assisted and laparoscopic techniques had similar anatomical and functional outcomes.

Indexed as

DefecographyAgedFemaleGynecologic Surgical ProceduresHumansLaparoscopyMiddle AgedRectal ProlapseRobotic Surgical ProceduresTreatment OutcomeMagnetic resonance defecographyPelvic floor dysfunctionPelvic organ mobilityPOP-QRobot-assisted procedureVentral rectopexy

Identifiers

PMID27250828
OpenAlexW2414164343

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.