Evidence map›Paper›PMID 39516323›Full record

SynthesisSurgical endoscopy2024

Mesh-associated complications in minimally invasive ventral mesh rectopexy: a systematic review.

Gabriel Fridolin Hess, Fabio Nocera, Stephanie Taha-Mehlitz, Sebastian Christen, Marco von Strauss Und Torney, Daniel C Steinemann

Abstract readSystematic Review
In one paragraph

Synthesis in Surgical endoscopy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. 2025 Delphi consensus on robotic ventral mesh rectopexy.International journal of colorectal disease · 2025
    Guideline
  2. Article
  3. Article
  4. Article
  5. Article
  6. Beyond stapled transanal rectal resectionWorld journal of gastrointestinal surgery · 2026
    Review
  7. Article
  8. Article
  9. Mesh in rectopexy: biological, synthetic, or hybrid?Techniques in coloproctology · 2025
    Article
  10. Article
  11. Review
  12. Article
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

6 authors.

Gabriel Fridolin Hess *Clarunis, University Digestive Health Care Center, St. Clara Hospital and University Hospital Basel Postfach, 4002, Basel, Switzerland.
Fabio Nocera *Clarunis, University Digestive Health Care Center, St. Clara Hospital and University Hospital Basel Postfach, 4002, Basel, Switzerland.
Stephanie Taha-MehlitzClarunis, University Digestive Health Care Center, St. Clara Hospital and University Hospital Basel Postfach, 4002, Basel, Switzerland.
Sebastian ChristenClarunis, University Digestive Health Care Center, St. Clara Hospital and University Hospital Basel Postfach, 4002, Basel, Switzerland.
Marco von Strauss Und TorneyClarunis, University Digestive Health Care Center, St. Clara Hospital and University Hospital Basel Postfach, 4002, Basel, Switzerland.
Daniel C SteinemannClarunis, University Digestive Health Care Center, St. Clara Hospital and University Hospital Basel Postfach, 4002, Basel, Switzerland. daniel.steinemann@unibas.ch.ORCID 0000-0003-4111-2909

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVentral mesh rectopexy (laparoscopic and robotic) is a common and well established treatment of rectal prolapse. Although described as safe and effective, complications, especially mesh-associated ones are often mentioned. Additionally, there is no consensus regarding the mesh type and fixation method as well as the materials used for this purpose. The aim of this systematic review was to identify the total amount of complications and of those the mesh-associated ones.

methodsPubmed, Web of Science and Cochrane Central Register were screened for complications in general and in detail regarding the mesh(es) and a systematic review was performed.

resultsFollowing qualitative evaluation, 40 studies were identified for further investigation. Across 6269 patients, complications were found in 9.2% (622 patients). Mesh-related complications were described in 1.4% (88 patients) of which 64.8% were erosions, 11.4% fistulas and 13.6% mesh releases. The complication rate according to the different materials were low with 1% in biological and synthetic meshes and 1.8% in not further described or mixed mesh type. Non-absorbable material to fixate the mesh was most frequently used to fixate the mesh.

conclusionLaparoscopic ventral mesh rectopexy is a safe operation with a low-complication rate, regardless of mesh type.

Indexed as

LaparoscopyPostoperative ComplicationsRectal ProlapseSurgical MeshHumansRobotic Surgical ProceduresMeshObstructive defecationRectal prolapseRectopexy

Identifiers

PMID39516323
PMCPMC11614941

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.