Evidence map›Paper›PMID 41099852›Full record

GuidelineInternational journal of colorectal disease2025

2025 Delphi consensus on robotic ventral mesh rectopexy.

Carlo Alberto Schena, Simona Ascanelli, Ugo Grossi, Gaetano Gallo, Francesco Marchegiani, Aleix Martínez-Pérez, Gaetano Pavone, Danila Azzolina, Michel Adamina, Paolo Pietro Bianchi and 27 more

Abstract readPractice GuidelineReview
In one paragraph

Guideline in International journal of colorectal disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Surgeon preferences and practice patterns in rectopexy: Results of an international survey.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026
    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

37 authors.

Carlo Alberto Schena *Department of Surgery, Fondazione Poliambulanza, Brescia, Italy.
Simona Ascanelli *Unit of Robotic and Minimally Invasive Digestive Surgery, Ferrara University Hospital, Via Aldo Moro 8, 44124, Ferrara, Italy. ass@unife.it.
Ugo GrossiDepartment of Surgery, Oncology and Gastroenterology - DiSCOG, University of Padova, Padua, Italy.
Gaetano GalloColorectal Surgery Unit, IRCCS San Raffaele Scientific Institute, Vita-Salute University, Milan, Italy.
Francesco MarchegianiUnit of Colorectal and Digestive Surgery, DIGEST Department, Beaujon University Hospital (AP-HP), University Paris Cité, ClichyParis, France.
Aleix Martínez-PérezUnit of Colorectal Surgery, Department of General and Digestive Surgery, Hospital Universitario Doctor Peset, Valencia, Spain.
Gaetano PavoneUnit of Anesthesia and Perioperative Medicine, "F. Miulli" Regional General Hospital, 70021, Bari, Italy.
Danila AzzolinaDepartment of Environmental and Preventive Science, University of Ferrara, Ferrara, Italy.
Michel AdaminaDepartment of Visceral Surgery and Medicine, Inselspital, Bern University Hospital, Bern, Switzerland.
Paolo Pietro BianchiDepartment of Surgery, Dipartimento Di Scienze Della Salute, Asst Santi Paolo E Carlo, University of Milan, Milan, Italy.
Gabriele BislenghiDepartment of Abdominal Surgery, University Hospitals Leuven, Louvain, Belgium.
Andrea BrainiDepartment of General Surgery, Azienda Sanitaria Friuli Occidentale (ASFO), Pordenone, Italy.
Maria Clotilde CarraDepartment of Translational Medicine and LTTA Centre, University of Ferrara, Ferrara, Italy.
Valerio CelentanoBowel Disease and Ileoanal Pouch Surgery Centre, Chelsea and Westminster Hospital, London, UK.
Andrea CorattiDivision of General and Minimally Invasive Surgery, Misericordia Hospital, Grosseto, Italy.
Francesca Da PozzoPoliclinico Abano Terme, and Villa Maria, Abano TermeRimini, Italy.
Paola De NardiDepartment of Gastroenterological Surgery, San Raffaele Scientific Institute, Milan, Italy.
Veronica De SimoneProctology and Pelvic Floor Surgery Unit, Isola Tiberina Hospital - Gemelli Isola, Rome, Italy.
André D'HooreDepartment of Abdominal Surgery, University Hospitals Leuven, Louvain, Belgium.
Eloy Espin-BasanyDepartment of General and Abdominal Surgery, Colorectal Unit, Vall d'Hebrón University Hospital, Universitat Autonoma de Barcelona UAB, Barcelona, Spain.
Alfredo GenoveseDivision of General and Minimally Invasive Surgery, Misericordia Hospital, Grosseto, Italy.
Jim KhanDepartment of Colorectal Surgery, Portsmouth Hospitals University NHS Trust, University of Portsmouth, Portsmouth, UK.
Leonardo LenisaDepartment of Surgery, Surgery Unit, Pelvic Floor Centre, Humanitas San Pio X, Milan, Italy.
Jacopo MartellucciEmergency Surgery/Pelvic Floor Center, Careggi University Hospital, Florence, Italy.
Ruby MartinelloObstetrics and Gynecology Unit, University Hospital Ferrara, Ferrara, Italy.
Michele MasettiDepartment of General Surgery, Santa Maria Della Scaletta Hospital, AUSL of Imola, Imola, Italy.
Marco MiloneDepartment of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Gabriele NaldiniDivision of Colon and Rectal Surgery, Humanitas University, Rozzano, Milan, Italy.
Gianluca PellinoDepartment of General and Abdominal Surgery, Colorectal Unit, Vall d'Hebrón University Hospital, Universitat Autonoma de Barcelona UAB, Barcelona, Spain.
Pierpaolo SileriColorectal Surgery Unit, IRCCS San Raffaele Scientific Institute, Vita-Salute University, Milan, Italy.
Angelo StutoUnit of Colonproctology, IRCCS Policlinico San Donato, Milan, Italy.
Pasquale TalentoDepartment of Surgery, Pelvic Floor Center, AUSL-IRCCS Reggio Emilia, Reggio Emilia, Italy.
Mario TestiniDepartment of Precision and Regenerative Medicine and Lonian Area, Unit of Academic General Surgery "V. Bonomo, " University of Bari Aldo Moro, Bari, Italy.
Alfredo TonsiColorectal Surgery Department, Royal Sussex County Hospital, University Hospitals Sussex, Brighton, UK.
Carlo RattoProctology and Pelvic Floor Surgery Unit, Isola Tiberina Hospital - Gemelli Isola, Rome, Italy.
Nicola de'AngelisDepartment of Surgery, Fondazione Poliambulanza, Brescia, Italy.
Italian Club of Robotic Surgery (ICORS), the Società Italiana di Chirurgia Colo-Rettale (SICCR), and the Società Italiana Unitaria di ColoProctologia (SIUCP)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRobotic ventral mesh rectopexy (RVMR) has emerged as an effective technique for addressing rectal prolapse (RP) and associated pelvic floor disorders. However, variability persists regarding preoperative evaluation, patient selection, and procedural techniques. This Delphi consensus aims to provide evidence-based recommendations to standardize practice, enhance patient outcomes, and address key gaps in the literature.

methodsThirty-three experts in RVMR participated in a structured Delphi process. The panel addressed 10 key clinical questions, covering preoperative workup, surgical indications, procedural steps, learning curves, training, and RVMR outcomes. The consensus process was reached through iterative surveys, literature reviews, and a rigorous voting methodology, applying the GRADE approach.

resultsA total of 27 consensus statements were formulated, providing standardized recommendations on patient selection, imaging modalities, surgical technique, and expected clinical outcomes. Concerning surgical technique, the panel addressed variations in trocar placement, robotic instrument selection, and docking strategies. Additionally, consensus statements addressed the role of mesh reinforcement, fixation techniques, and the potential for combined procedures in the treatment of multicompartment pelvic organ prolapse. Of the 27 consensus statements, 3 (11.1%) were supported by moderate-quality evidence, whereas 18 (66.7%) were based on low or very-low-quality evidence and 6 (22.2%) on expert opinion.

conclusionThis consensus provides a structured, consensus-based framework for clinicians and surgeons trying to address the complexities of RVMR and promote standardization and quality improvement in RP management, while acknowledging that the underlying evidence remains largely low-quality.

Indexed as

Rectal ProlapseRobotic Surgical ProceduresConsensusDelphi TechniqueEvidence-Based MedicineHumansLearning CurvePatient SelectionSurgical MeshMinimally invasive surgeryPosterior pelvic floor disordersRectal prolapseRobotic surgeryRobotic ventral mesh rectopexy

Identifiers

PMID41099852
PMCPMC12532664

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.