Evidence map›Paper›PMID 32130545›Full record

ArticleTechniques in coloproctology2020

Transvaginal rectopexy using the Flex

J O Paull, A Graham, S Parascandola, S Hota, S Stein, B Umapathi, A Abdullah, N Pudalov, V Obias

Abstract read
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In one paragraph

Article in Techniques in coloproctology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.4field-weighted citation impact, top 40% 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

0 citing papers in PubMed, 3 citations in OpenAlex.

No citing paper in PubMed yet.

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

9 authors at 3 institutions in 1 country.

J O PaullWalter Reed National Military Medical Center, C/O George, Washington University Hospital, 22nd and I Street, NW, 9th Floor Suite 6B, Washington, DC, 20037, USA.
A GrahamDepartment of Colorectal Surgery, George Washington University Hospital, Washington DC, USA.
S ParascandolaWalter Reed National Military Medical Center, C/O George, Washington University Hospital, 22nd and I Street, NW, 9th Floor Suite 6B, Washington, DC, 20037, USA. salvatore.parascandola@gmail.com.ORCID http://orcid.org/0000-0001-7042-8502
S HotaEastern Virginia Medical School, Norfolk, VA, USA.
S SteinDepartment of Colorectal Surgery, George Washington University Hospital, Washington DC, USA.
B UmapathiDepartment of Colorectal Surgery, George Washington University Hospital, Washington DC, USA.
A AbdullahDepartment of Colorectal Surgery, George Washington University Hospital, Washington DC, USA.
N PudalovGeorge Washington University School of Medicine and Health Sciences, Washington DC, USA.
V ObiasDepartment of Colorectal Surgery, George Washington University Hospital, Washington DC, USA.
George Washington University Hospital · USEastern Virginia Medical School · USGeorge Washington University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to demonstrate a proof-of-concept approach to rectopexy that would provide the durability of the transabdominal procedure through use of sacral rectopexy with the decreased morbidity of a perineal procedure. This was done by utilizing a transvaginal approach and developing the rectovaginal space to accommodate sacral rectopexy placement using the Flex

methodsA fresh female cadaver was acquired and placed in the high lithotomy position. The rectovaginal space was developed to accommodate the trocar of the Flex robot using blunt and sharp dissection between the posterior vaginal wall and anterior rectum. A piece of mesh was introduced into the space and using an endoscopic tacker, which was secured to the sacral promontory. The mesh was secured to the anterior rectal wall using interrupted vicryl sutures. The purse string suture was removed and the rectovaginal orifice was closed using a running vicryl suture. At the completion of the procedure, a low midline laparotomy was conducted to verify anchoring of the mesh appropriately at the sacral promontory.

resultsThis proof-of-concept protocol is the first description of the Flex

conclusionsThis proof-of-concept approach demonstrates that transvaginal rectopexy using the Flex

Indexed as

Colorectal NeoplasmsLaparoscopyRectal ProlapseRobotic Surgical ProceduresFemaleHumansRectumSurgical MeshTreatment OutcomeRectal prolapseRectopexyRoboticsTransvaginal

Identifiers

PMID32130545
OpenAlexW3010273793

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.