Evidence map›Paper›PMID 36596586›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

A comparison of perineal stapled prolapse resection and the Altemeier procedure at 2 Canadian academic hospitals.

Haven M Roy, Zarrukh Baig, Ahmer A Karimuddin, Manoj J Raval, Carl J Brown, P Terry Phang, Dilip Gill, D Nathan Ginther

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie. 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
1.0field-weighted citation impact, top 25% 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, 4 citations in OpenAlex.

  1. Surgical approaches for complete rectal prolapse.World journal of gastrointestinal surgery · 2025
    Review
  2. Article
  3. Review
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.

Haven M RoyFrom the Department of Surgery, University of Manitoba, Winnipeg, Man. (Haven); the Department of Surgery, University of Saskatchewan, Saskatoon, Sask. (Baig, Gill, Ginther); and the Department of Surgery, University of British Columbia, Vancouver, BC (Karimuddin, Raval, Brown, Phang) haven.roy@usask.ca.
Zarrukh BaigFrom the Department of Surgery, University of Manitoba, Winnipeg, Man. (Haven); the Department of Surgery, University of Saskatchewan, Saskatoon, Sask. (Baig, Gill, Ginther); and the Department of Surgery, University of British Columbia, Vancouver, BC (Karimuddin, Raval, Brown, Phang).
Ahmer A KarimuddinFrom the Department of Surgery, University of Manitoba, Winnipeg, Man. (Haven); the Department of Surgery, University of Saskatchewan, Saskatoon, Sask. (Baig, Gill, Ginther); and the Department of Surgery, University of British Columbia, Vancouver, BC (Karimuddin, Raval, Brown, Phang).
Manoj J RavalFrom the Department of Surgery, University of Manitoba, Winnipeg, Man. (Haven); the Department of Surgery, University of Saskatchewan, Saskatoon, Sask. (Baig, Gill, Ginther); and the Department of Surgery, University of British Columbia, Vancouver, BC (Karimuddin, Raval, Brown, Phang).
Carl J BrownFrom the Department of Surgery, University of Manitoba, Winnipeg, Man. (Haven); the Department of Surgery, University of Saskatchewan, Saskatoon, Sask. (Baig, Gill, Ginther); and the Department of Surgery, University of British Columbia, Vancouver, BC (Karimuddin, Raval, Brown, Phang).
P Terry PhangFrom the Department of Surgery, University of Manitoba, Winnipeg, Man. (Haven); the Department of Surgery, University of Saskatchewan, Saskatoon, Sask. (Baig, Gill, Ginther); and the Department of Surgery, University of British Columbia, Vancouver, BC (Karimuddin, Raval, Brown, Phang).
Dilip GillFrom the Department of Surgery, University of Manitoba, Winnipeg, Man. (Haven); the Department of Surgery, University of Saskatchewan, Saskatoon, Sask. (Baig, Gill, Ginther); and the Department of Surgery, University of British Columbia, Vancouver, BC (Karimuddin, Raval, Brown, Phang).
D Nathan GintherFrom the Department of Surgery, University of Manitoba, Winnipeg, Man. (Haven); the Department of Surgery, University of Saskatchewan, Saskatoon, Sask. (Baig, Gill, Ginther); and the Department of Surgery, University of British Columbia, Vancouver, BC (Karimuddin, Raval, Brown, Phang).
University of British Columbia · CAUniversity of Saskatchewan · CAUniversity of Manitoba · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe preferred perineal repair method for full-thickness rectal prolapse is the Altemeier procedure, a perineal proctosigmoidectomy with handsewn anastomosis. A recently described variant of this procedure combines the resection and anastomosis into 1 step by means of linear and transverse stapling. There are few published data comparing the characteristics and outcomes of these 2 approaches.

methodsThis retrospective review, performed at 2 Canadian academic hospitals, compares surgical and cost outcomes between the perineal stapled prolapse resection (PSPR) and the Altemeier procedure. All patients who underwent these procedures between 2015 and 2019 were included.

resultsThere were 25 patients in the PSPR group and 19 in the Altemeier group. Patients in the PSPR group were significantly older than those in the Altemeier group (81 [95% confidence interval (CI) 70-92] yr v. 74 [95% CI 63-85] yr;

conclusionPSPR is a safe, efficient and effective approach to perineal proctosigmoidectomy. It is associated with surgical outcomes comparable to those of the Altemeier procedure, but with a significant reduction in operative time and cost.

Indexed as

Colon, SigmoidRectal ProlapseRectumAnastomosis, SurgicalCanadaDevice RemovalHumansPerineumTreatment Outcome

Identifiers

PMID36596586
PMCPMC9829033
OpenAlexW4313523498

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.