Evidence map›Paper›PMID 28503515›Full record

ReviewAnnals of coloproctology2017

Synthetic Versus Biological Mesh-Related Erosion After Laparoscopic Ventral Mesh Rectopexy: A Systematic Review.

Andrea Balla, Silvia Quaresima, Sebastian Smolarek, Mostafa Shalaby, Giulia Missori, Pierpaolo Sileri

Erratum issuedOpen access · goldAbstract readReview
In one paragraph

Review in Annals of coloproctology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 32 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 5 pooled it
4.0field-weighted citation impact, top 6% 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

32 citing papers in PubMed, 5 syntheses or guidelines pooled it, 66 citations in OpenAlex.

  1. 2025 Delphi consensus on robotic ventral mesh rectopexy.International journal of colorectal disease · 2025
    Guideline
  2. Pooled it
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  6. Trial
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  9. Article
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  11. Review
  12. Surgeon preferences and practice patterns in rectopexy: Results of an international survey.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026
    Article
  13. Mesh in rectopexy: biological, synthetic, or hybrid?Techniques in coloproctology · 2025
    Article
  14. Article
  15. Article
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  17. Review
  18. The international variability of surgery for rectal prolapse.BMJ surgery, interventions, & health technologies · 2023
    Article
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  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Andrea BallaDepartment of General Surgery and Surgical Specialties "Paride Stefanini", Sapienza University of Rome, Rome, Italy.
Silvia QuaresimaDepartment of Surgery, Tor Vergata University, Rome, Italy.
Sebastian SmolarekPelvic Oncology Fellow, Abertawe Bro Morgannwg University Health Board, Swansea, UK.
Mostafa ShalabyDepartment of Surgery, Tor Vergata University, Rome, Italy.
Giulia MissoriDepartment of Surgery, Tor Vergata University, Rome, Italy.
Pierpaolo SileriDepartment of Surgery, Tor Vergata University, Rome, Italy.
University of Rome Tor Vergata · ITSapienza University of Rome · ITSwansea Bay University Health Board · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis review reports the incidence of mesh-related erosion after ventral mesh rectopexy to determine whether any difference exists in the erosion rate between synthetic and biological mesh.

methodsA systematic search of the MEDLINE and the Ovid databases was conducted to identify suitable articles published between 2004 and 2015. The search strategy capture terms were laparoscopic ventral mesh rectopexy, laparoscopic anterior rectopexy, robotic ventral rectopexy, and robotic anterior rectopexy.

resultsEight studies (3,956 patients) were included in this review. Of those patients, 3,517 patients underwent laparoscopic ventral rectopexy (LVR) using synthetic mesh and 439 using biological mesh. Sixty-six erosions were observed with synthetic mesh (26 rectal, 32 vaginal, 8 recto-vaginal fistulae) and one (perineal erosion) with biological mesh. The synthetic and the biological mesh-related erosion rates were 1.87% and 0.22%, respectively. The time between rectopexy and diagnosis of mesh erosion ranged from 1.7 to 124 months. No mesh-related mortalities were reported.

conclusionThe incidence of mesh-related erosion after LVR is low and is more common after the placement of synthetic mesh. The use of biological mesh for LVR seems to be a safer option; however, large, multicenter, randomized, control trials with long follow-ups are required if a definitive answer is to be obtained.

Indexed as

Biological meshErosion mesh-relatedLaparoscopic ventral rectopexySynthetic mesh

Identifiers

PMID28503515
PMCPMC5426201
OpenAlexW2613569754

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.