Evidence map›Paper›PMID 30918434›Full record

Trial reportWorld journal of gastroenterology2019

Khubchandani's procedure combined with stapled posterior rectal wall resection for rectocele.

Yi Shao, Yong-Xing Fu, Qing-Fa Wang, Zhi-Qiang Cheng, Guang-Yong Zhang, San-Yuan Hu

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in World journal of gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 32% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. 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.

Yi ShaoDepartment of General Surgery, Qilu Hospital of Shandong University, Jinan 250012, Shandong Province, China.
Yong-Xing FuDepartment of Neonatal Medicine, Yidu Central Hospital of Weifang, Weifang 262500, Shandong Province, China.
Qing-Fa WangDepartment of Neonatal Medicine, Yidu Central Hospital of Weifang, Weifang 262500, Shandong Province, China.
Zhi-Qiang ChengDepartment of General Surgery, Qilu Hospital of Shandong University, Jinan 250012, Shandong Province, China.
Guang-Yong ZhangDepartment of General Surgery, Qilu Hospital of Shandong University, Jinan 250012, Shandong Province, China.
San-Yuan HuDepartment of General Surgery, Qilu Hospital of Shandong University, Jinan 250012, Shandong Province, China. husanyuan1962@hotmail.com.
Qilu Hospital of Shandong University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObstructed defecation syndrome (ODS) is a widespread disease in the world. Rectocele is the most common cause of ODS in females. Multiple procedures have been performed to treat rectocele and no procedure has been accepted as the gold-standard procedure. Stapled transanal rectal resection (STARR) has been widely used. However, there are still some disadvantages in this procedure and its effectiveness in anterior wall repair is doubtful. Therefore, new procedures are expected to further improve the treatment of rectocele.

aimTo evaluate the efficacy and safety of a novel rectocele repair combining Khubchandani's procedure with stapled posterior rectal wall resection.

methodsA cohort of 93 patients were recruited in our randomized clinical trial and were divided into two different groups in a randomized manner. Forty-two patients (group A) underwent Khubchandani's procedure with stapled posterior rectal wall resection and 51 patients (group B) underwent the STARR procedure. Follow-up was performed at 1, 3, 6, and 12 mo after the operation. Preoperative and postoperative ODS scores and depth of rectocele, postoperative complications, blood loss, and hospital stay of each patient were documented. All data were analyzed statistically to evaluate the efficiency and safety of our procedure.

resultsIn group A, 42 patients underwent Khubchandani's procedure with stapled posterior rectal wall resection and 34 were followed until the final analysis. In group B, 51 patients underwent the STARR procedure and 37 were followed until the final analysis. Mean operative duration was 41.47 ± 6.43 min (group A)

conclusionKhubchandani's procedure combined with stapled posterior rectal wall resection is an effective, feasible, and safe procedure with minor trauma to rectocele.

Indexed as

AdultAgedBlood Loss, SurgicalDefecographyDigestive System Surgical ProceduresFemaleHumansIntestinal ObstructionLength of StayMaleMiddle AgedOperative TimePostoperative ComplicationsRectoceleRectumSurgical StaplingKhubchandani’s procedureObstructed defecation syndromeRectal prolapseRectoceleStapled posterior rectal wall resectionStapled transanal rectal resection

Identifiers

PMID30918434
PMCPMC6429338
OpenAlexW2924222253

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Registered trials

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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.