Evidence map›Paper›PMID 38619626›Full record

ArticleTechniques in coloproctology2024

Comparative study of laparoscopic ventral mesh rectopexy versus perineal stapler resection for external full-thickness rectal prolapse in elderly patients: enhanced outcomes and reduced recurrence rates-a retrospective cohort study.

T A A M Habeeb, M Podda, M Chiaretti, A Kechagias, J B Lledó, Abd-Elfattah Kalmoush, Fawzy M Mustafa, Mohammed Shaaban Nassar, Mohamed Fathy Labib, Sobhy Rezk Ahmed Teama and 14 more

Registry-linked trialOpen access · hybridAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Techniques in coloproctology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05915936 (Comparative Study of Laparoscopic Ventral Mesh Rectopexy Versus Perineal Stapler Resection for External Full-Thickness Rectal Prolapse in Elderly Patients), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.8field-weighted citation impact, top 7% 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.

NCT05915936 completednot on this map

Comparative Study of Laparoscopic Ventral Mesh Rectopexy Versus Perineal Stapler Resection for External Full-Thickness Rectal Prolapse in Elderly Patients: Enhanced Outcomes and Reduced Recurrence Rates - A Retrospective Cohort Study

TypeobservationalSponsorZagazig UniversityRan2012 to 2023Enrolled330ConditionsRectal ProlapseArmsLVMR, PSR
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 8 citations in OpenAlex.

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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

24 authors at 6 institutions in 3 countries.

T A A M HabeebDepartment of General Surgery, Faculty of Medicine, Zagazig University, 1 Faculty of Medicine Street, Zagazig, Sharqia, Egypt. tameralnaimy@hotmail.com.
M PoddaDepartment of Surgical Science, Cagliari University Hospital, Monserrato, 09042, Cagliari, Italy.
M ChiarettiParide Stefanini General and Specialist Surgery Department, Sapienza University of Rome IT, Rome, Italy.
A KechagiasDepartment of Gastroenterology and Alimentary Tract Surgery, Tampere, Finland.
J B LledóDepartment of Surgery, La Fe University Hospital, Valencia, Spain.
Abd-Elfattah KalmoushGeneral Surgery Department, Faculty of Medicine, Al-Azher University, Cairo, Egypt.
Fawzy M MustafaGeneral Surgery Department, Faculty of Medicine, Al-Azher University, Cairo, Egypt.
Mohammed Shaaban NassarGeneral Surgery Department, Faculty of Medicine, Al-Azher University, Cairo, Egypt.
Mohamed Fathy LabibGeneral Surgery Department, Faculty of Medicine, Al-Azher University, Cairo, Egypt.
Sobhy Rezk Ahmed TeamaGeneral Surgery Department, Faculty of Medicine, Al-Azher University, Cairo, Egypt.
Mohammed Hassan ElshafeyGeneral Surgery Department, Faculty of Medicine, Al-Azher University, Cairo, Egypt.
Hamdi ElbelkasiGeneral Surgery Department, Mataryia Teaching Hospital (GOTHI), Cairo, Egypt.
Mohamed Ibrahim Abo AlsaadGeneral Surgery Department, Faculty of Medicine, Merit University, Sohag, Egypt.
Ahmed M SallamDepartment of General Surgery, Faculty of Medicine, Zagazig University, 1 Faculty of Medicine Street, Zagazig, Sharqia, Egypt.
Hassan AshourDepartment of General Surgery, Faculty of Medicine, Zagazig University, 1 Faculty of Medicine Street, Zagazig, Sharqia, Egypt.
Mohamed Ibrahim MansourDepartment of General Surgery, Faculty of Medicine, Zagazig University, 1 Faculty of Medicine Street, Zagazig, Sharqia, Egypt.
Abdelshafy MostafaDepartment of General Surgery, Faculty of Medicine, Zagazig University, 1 Faculty of Medicine Street, Zagazig, Sharqia, Egypt.
Tamer Mohamed ElshahidyDepartment of General Surgery, Faculty of Medicine, Zagazig University, 1 Faculty of Medicine Street, Zagazig, Sharqia, Egypt.
Ahmed M YehiaDepartment of General Surgery, Faculty of Medicine, Zagazig University, 1 Faculty of Medicine Street, Zagazig, Sharqia, Egypt.
Tamer RushdyDepartment of General Surgery, Faculty of Medicine, Zagazig University, 1 Faculty of Medicine Street, Zagazig, Sharqia, Egypt.
Alaaedin RamadanDepartment of General Surgery, Faculty of Medicine, Zagazig University, 1 Faculty of Medicine Street, Zagazig, Sharqia, Egypt.
Abd Elwahab M HamedDepartment of General Surgery, Faculty of Medicine, Zagazig University, 1 Faculty of Medicine Street, Zagazig, Sharqia, Egypt.
Mahmoud Abdou YassinDepartment of General Surgery, Faculty of Medicine, Zagazig University, 1 Faculty of Medicine Street, Zagazig, Sharqia, Egypt.
Abd-Elrahman M MetwalliDepartment of General Surgery, Faculty of Medicine, Zagazig University, 1 Faculty of Medicine Street, Zagazig, Sharqia, Egypt.
Zagazig University · EGAl-Azhar University · EGHospital Universitari i Politècnic La Fe · ESSapienza University of Rome · ITSohag University · EGUniversity of Cagliari · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn elderly patients with external full-thickness rectal prolapse (EFTRP), the exact differences in postoperative recurrence and functional outcomes between laparoscopic ventral mesh rectopexy (LVMR) and perineal stapler resection (PSR) have not yet been investigated.

methodsWe conducted a retrospective multicenter study on 330 elderly patients divided into LVMR group (n = 250) and PSR (n = 80) from April 2012 to April 2019. Patients were evaluated before and after surgery by Wexner incontinence scale, Altomare constipation scale, and patient satisfaction questionnaire. The primary outcomes were incidence and risk factors for EFTRP recurrence. Secondary outcomes were postoperative incontinence, constipation, and patient satisfaction.

resultsLVMR was associated with fewer postoperative complications (p < 0.001), lower prolapse recurrence (p < 0.001), lower Wexner incontinence score (p = 0.03), and lower Altomare's score (p = 0.047). Furthermore, LVMR demonstrated a significantly higher surgery-recurrence interval (p < 0.001), incontinence improvement (p = 0.019), and patient satisfaction (p < 0.001) than PSR. Three and 13 patients developed new symptoms in LVMR and PSR, respectively. The predictors for prolapse recurrence were LVMR (associated with 93% risk reduction of recurrence, OR 0.067, 95% CI 0.03-0.347, p = 0.001), symptom duration (prolonged duration was associated with an increased risk of recurrence, OR 1.131, 95% CI 1.036-1.236, p = 0.006), and length of prolapse (increased length was associated with a high recurrence risk (OR = 1.407, 95% CI = 1.197-1.655, p < 0.001).

conclusionsLVMR is safe for EFTRP treatment in elderly patients with low recurrence, and improved postoperative functional outcomes.

trial registrationClinical Trial.gov (NCT05915936), retrospectively registered on June 14, 2023.

Indexed as

LaparoscopyRectal ProlapseAgedConstipationHumansRetrospective StudiesSurgical MeshElderlyFunctional outcomesLaparoscopic ventral mesh rectopexyPerineal stapler resectionRectal prolapseRecurrence

Identifiers

PMID38619626
PMCPMC11018677
OpenAlexW4394807714

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Registered trials

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.