Evidence map›Paper›PMID 31263915›Full record

ArticleInternational urogynecology journal2019

Interposition of the mesorectal flap as prevention of rectovaginal fistula in patients with endometriosis.

Jiri Hanacek, Lukas Havluj, Jan Drahonovsky, Iva Urbankova, Petr Krepelka, Jaroslav Feyereisl

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In one paragraph

Article in International urogynecology journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 35% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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.

Jiri HanacekInstitute for the Care of Mother and Child, Podolske nabrezi 157, 14700, Prague, Czech Republic. jiri.hanacek@upmd.eu.ORCID http://orcid.org/0000-0002-7976-9079
Lukas HavlujThird Faculty of Medicine, Charles University, Prague, Czech Republic.
Jan DrahonovskyInstitute for the Care of Mother and Child, Podolske nabrezi 157, 14700, Prague, Czech Republic.
Iva UrbankovaInstitute for the Care of Mother and Child, Podolske nabrezi 157, 14700, Prague, Czech Republic.
Petr KrepelkaInstitute for the Care of Mother and Child, Podolske nabrezi 157, 14700, Prague, Czech Republic.
Jaroslav FeyereislInstitute for the Care of Mother and Child, Podolske nabrezi 157, 14700, Prague, Czech Republic.
Charles University · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisEndometriosis is a gynecological condition characterized by endometrial tissue outside of the uterus. It affects up to 15% of women of reproductive age. In the case of bowel infiltration, about 90% of lesions are localized on the sigmoid colon or the rectum and may interfere with bowel function. Three surgical approaches are possible: (1) shaving technique, (2) discoid resection of the nodule, and (3) segmental resection with end-to-end anastomosis. A rectovaginal fistula is feared as a postoperative complication mainly in simultaneous resection of the vaginal and the rectosigmoid nodules. Its prevention is a two-step surgery (the first operation on the vagina and the second on the colon) or a preventive colostomy, both of which are often thought to be too invasive for a benign condition. Herein, we suggest a one-step surgery to prevent its development.

methodsIn three women, a concomitant laparoscopic resection of the vaginal and rectosigmoid endometrial nodule was completed with interposition of a mesorectal flap.

resultsAll surgeries were uncomplicated with no rectovaginal fistula in the postoperative period.

conclusionIn the hands of skilled surgeons, this one-step technique can be used to prevent rectovaginal fistula development.

Indexed as

Surgical FlapsAdultColon, SigmoidEndometriosisFemaleHumansLaparoscopyPostoperative ComplicationsRectal DiseasesRectovaginal FistulaRectumVaginaVaginal DiseasesBowel endometriosisMesorectal flapRectovaginal fistulaVaginal endometriosis

Identifiers

PMID31263915
OpenAlexW2955124111

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.