Evidence map›Paper›PMID 34935090›Full record

ArticleTechniques in coloproctology2022

Mid-term functional and quality of life outcomes of robotic and laparoscopic ventral mesh rectopexy: multicenter comparative matched-pair analyses.

K E Laitakari, J K Mäkelä-Kaikkonen, J Kössi, M Kairaluoma, S Koivurova, L Pollari, P Ohtonen, T T Rautio

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Techniques in coloproctology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
1.5field-weighted citation impact, top 17% 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

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. 2025 Delphi consensus on robotic ventral mesh rectopexy.International journal of colorectal disease · 2025
    Guideline
  2. Pooled it
  3. Could robotic-assisted surgery reduce mesh-related complications after ventral mesh rectopexy? Experience of a tertiary centre and systematic review of the literature.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024
    Pooled it
  4. Beyond stapled transanal rectal resectionWorld journal of gastrointestinal surgery · 2026
    Review
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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

8 authors at 3 institutions in 1 country.

K E LaitakariDepartment of Surgery, Division of Gastroenterology, Oulu University Hospital, PO Box 21, 90029 OYS, Oulu, Finland. kirsi.laitakari@ppshp.fi.ORCID http://orcid.org/0000-0001-7837-7025
J K Mäkelä-KaikkonenDepartment of Surgery, Division of Gastroenterology, Oulu University Hospital, PO Box 21, 90029 OYS, Oulu, Finland.
J KössiDepartment of Surgery, Päijät-Häme Central Hospital, Lahti, Finland.
M KairaluomaDepartment of Surgery, Keski-Suomi Central Hospital, Jyväskylä, Finland.
S KoivurovaDepartment of Obstetrics and Gynecology, Oulu University Hospital, Oulu, Finland.
L PollariDepartment of Surgery, Division of Gastroenterology, Oulu University Hospital, PO Box 21, 90029 OYS, Oulu, Finland.
P OhtonenDivision of Operative Care, Oulu University Hospital, Oulu, Finland.
T T RautioDepartment of Surgery, Division of Gastroenterology, Oulu University Hospital, PO Box 21, 90029 OYS, 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

backgroundThe aim of this study was to compare patients' mid-term functional and quality of life (QoL) outcomes following robotic ventral mesh rectopexy (RVMR) and laparoscopic ventral mesh rectopexy (LVMR).

methodsThe data of consecutive female patients who underwent minimally invasive ventral mesh rectopexy for external or symptomatic internal rectal prolapse at 3 hospitals in Finland between January 2011 and December 2016 were retrospectively collected. Patients were matched by age and diagnosis at a 1:1 ratio. A disease-related symptom questionnaire was sent to all living patients at follow-up in July 2018.

resultsAfter a total of 401 patients (RVMR, n = 187; LVMR, n = 214) were matched, 152 patients in each group were included in the final analyses. The median follow-up times were 3.3 (range 1.6-7.4) years and 3.0 (range 1.6-7.6) years for the RVMR and LVMR groups, respectively. The postoperative QoL measures did not differ between the groups. Compared with the LVMR group, the RVMR group had lower postoperative Wexner Incontinence Score (median 5 vs. median 8; p < 0.001), experienced significant ongoing incontinence symptoms less often (30.6% vs. 49.0%; p < 0.001) and reported less postoperative faecal incontinence discomfort evaluated with the visual analogue scale (median 11 vs. median 39; p = 0.005). RVMR patients had a shorter hospital stay (2.2 days vs. 3.8 days; p < 0.001) but experienced more frequent de novo pelvic pain (31.8% vs. 11.8%; p < 0.001).

conclusionRVMR and LVMR patients had equal functional and QoL outcomes. Those who underwent RVMR had lower mid-term anal incontinence symptom scores but suffered more frequent de novo pelvic pain.

Indexed as

Fecal IncontinenceLaparoscopyRectal ProlapseRobotic Surgical ProceduresFemaleHumansMatched-Pair AnalysisQuality of LifeRectumRetrospective StudiesSurgical MeshTreatment OutcomeIncontinenceLaparoscopicObstructed defecationRectal prolapseRoboticVentral rectopexy

Identifiers

PMID34935090
PMCPMC8917003
OpenAlexW4200231476

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.