Evidence map›Paper›PMID 33151385›Full record

ArticleTechniques in coloproctology2021

Redo ventral rectopexy: is it worthwhile?

K E Laitakari, J K Mäkelä-Kaikkonen, M Kairaluoma, A Junttila, J Kössi, P Ohtonen, T T Rautio

Open access · hybridAbstract read
In one paragraph

Article in Techniques in coloproctology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 27% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Recurrent Rectal Prolapse.Clinics in colon and rectal surgery · 2025
    Review
  3. Article
  4. Article
  5. Article
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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 3 institutions in 1 country.

K E LaitakariDivision of Gastroenterology, Department of Surgery, Oulu University Hospital, Oulu, Finland. kirsi.laitakari@ppshp.fi.ORCID 0000-0001-7837-7025
J K Mäkelä-KaikkonenDivision of Gastroenterology, Department of Surgery, Oulu University Hospital, Oulu, Finland.
M KairaluomaDepartment of Surgery, Keski-Suomi Central Hospital, Jyväskylä, Finland.
A JunttilaDepartment of Surgery, Keski-Suomi Central Hospital, Jyväskylä, Finland.
J KössiDepartment of Surgery, Päijät-Häme Central Hospital, Lahti, Finland.
P OhtonenDivision of Gastroenterology, Department of Surgery, Oulu University Hospital, Oulu, Finland.
T T RautioDivision of Gastroenterology, Department of Surgery, Oulu University Hospital, Oulu, Finland.
Oulu University Hospital · FICentral Finland Health Care District · FIPäijät-Hämeen Keskussairaala · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMinimally invasive ventral mesh rectopexy (VMR) is a widely used surgical treatment for posterior pelvic organ prolapse; however, evidence of the utility of revisional surgery is lacking. Our aim was to assess the technical details, safety and outcomes of redo minimally invasive VMR for patients with external rectal prolapse (ERP) recurrence or relapsed symptoms of internal rectal prolapse (IRP).

methodsThis is a retrospective cohort study of patients with recurrent ERP or symptomatic IRP who underwent redo minimally invasive VMR between 2011 and 2016. The study was conducted at three hospitals in Finland. Data collected retrospectively included patient demographics, in addition to perioperative and short-term postoperative findings. At follow-up, all living patients were sent a questionnaire concerning postoperative disease-related symptoms and quality of life.

resultsA total of 43 redo minimally invasive VMR were performed during the study period. The indication for reoperation was recurrent ERP in 22 patients and relapsed symptoms of IRP in 21 patients. In most operations (62.8%), the previously used mesh was left in situ and a new one was placed. Ten (23.3%) patients experienced complications, including 2 (4.7%) mesh-related complications. The recurrence rate was 4.5% for ERP. Three patients out of 43 were reoperated on for various reasons. One patient required postoperative laparoscopic hematoma evacuation. Patients operated on for recurrent ERP seemed to benefit more from the reoperation.

conclusionsMinimally invasive redo VMR appears to be a safe and effective procedure for treating posterior pelvic floor dysfunction with acceptable recurrence and reoperation rates.

Indexed as

LaparoscopyRectal ProlapseFinlandHumansPostoperative ComplicationsQuality of LifeRectumRecurrenceRetrospective StudiesSurgical MeshTreatment OutcomeMeshRectal prolapseRedo surgeryVentral rectopexy

Identifiers

PMID33151385
PMCPMC7932956
OpenAlexW3095035259

What OpenQuestion holds

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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.