Evidence map›Paper›PMID 42274779›Full record

ArticleInternational journal of colorectal disease2026

Focused analysis of the surgical management for recurrence of internal rectal prolapse and obstructed defecation syndrome after stapled rectal resection procedures: a long-term single-center experience.

Angelo A Marra, Claudia Varrella, Cesare Caruso, Ilaria Simonelli, Angelo Parello, Francesco Litta, Paola Campennì, Mario Pagano, Carlo Ratto

Abstract read
In one paragraph

Article in International journal of colorectal disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Angelo A Marra *Proctology and Pelvic Floor Surgery Unit, Center of Excellence for Gastrointestinal and Endocrine-Metabolic Diseases, Isola Tiberina - Gemelli Isola Hospital, Via Di Ponte Quattro Capi, 39, Rome, 00186, Italy.
Claudia VarrellaProctology and Pelvic Floor Surgery Unit, Center of Excellence for Gastrointestinal and Endocrine-Metabolic Diseases, Isola Tiberina - Gemelli Isola Hospital, Via Di Ponte Quattro Capi, 39, Rome, 00186, Italy.
Cesare CarusoProctology and Pelvic Floor Surgery Unit, Center of Excellence for Gastrointestinal and Endocrine-Metabolic Diseases, Isola Tiberina - Gemelli Isola Hospital, Via Di Ponte Quattro Capi, 39, Rome, 00186, Italy.
Ilaria SimonelliBiostatistical Service, Clinical Trial Center, Isola Tiberina - Gemelli Isola Hospital, Rome, Italy.
Angelo ParelloProctology and Pelvic Floor Surgery Unit, Center of Excellence for Gastrointestinal and Endocrine-Metabolic Diseases, Isola Tiberina - Gemelli Isola Hospital, Via Di Ponte Quattro Capi, 39, Rome, 00186, Italy.
Francesco LittaProctology and Pelvic Floor Surgery Unit, Center of Excellence for Gastrointestinal and Endocrine-Metabolic Diseases, Isola Tiberina - Gemelli Isola Hospital, Via Di Ponte Quattro Capi, 39, Rome, 00186, Italy.
Paola CampennìProctology and Pelvic Floor Surgery Unit, Center of Excellence for Gastrointestinal and Endocrine-Metabolic Diseases, Isola Tiberina - Gemelli Isola Hospital, Via Di Ponte Quattro Capi, 39, Rome, 00186, Italy.
Mario PaganoProctology and Pelvic Floor Surgery Unit, Center of Excellence for Gastrointestinal and Endocrine-Metabolic Diseases, Isola Tiberina - Gemelli Isola Hospital, Via Di Ponte Quattro Capi, 39, Rome, 00186, Italy.
Carlo Ratto *Proctology and Pelvic Floor Surgery Unit, Center of Excellence for Gastrointestinal and Endocrine-Metabolic Diseases, Isola Tiberina - Gemelli Isola Hospital, Via Di Ponte Quattro Capi, 39, Rome, 00186, Italy. carloratto@tiscali.it.ORCID http://orcid.org/0000-0002-0556-0037

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStapled rectal resection procedures have been adopted for the treatment of internal rectal prolapse (IRP) and obstructed defecation syndrome (ODS). However, concerns remain in case of surgery for recurrence. This study aimed to analyze the impact of a staple-line scar in patients undergoing surgery for IRP and ODS recurrence.

methodsA prospective maintained database of patients who underwent abdominal or perineal surgery for IRP and ODS between November 1998 and January 2025 was retrospectively analyzed. Patients with a history of stapled rectal resection procedures were specifically evaluated. Baseline clinical and radiological characteristics, surgical complexity related to stapled suture, postoperative complications, recurrence, and ODS and fecal incontinence scores were collected.

resultsOf 376 female patients, 50 (13.3%) with prior stapled rectal resection procedures underwent surgery for IRP and ODS recurrence. In three cases, the staple-line scar could not be safely overcome. At last follow-up, recurrence and complication rates were comparable between patients with and without previous stapled procedures (4.8% vs. 6.1% and 19.0% vs. 18.4%, respectively). One patient in the stapled group experienced persistent pelvic pain despite anatomical correction. Although ODS and fecal incontinence scores improved overall, patients with prior stapled rectal resection reported higher ODS scores. However, linear mixed-effects analysis did not demonstrate statistically significant differences between groups.

conclusionsSurgery for IRP and ODS recurrence after stapled rectal resection procedures is challenging. Although previous stapled rectal resection procedures may be associated with higher ODS scores, further studies are needed to clarify these findings.

Indexed as

DefecationRectal ProlapseRectumSurgical StaplingAgedColorectal Surgical ProceduresFemaleHumansMiddle AgedPostoperative ComplicationsRecurrenceSyndromeTime FactorsInternal rectal prolapseObstructed defecation syndromeRectal prolapse surgeryRecurrence surgeryStapled rectal resection

Identifiers

PMID42274779
PMCPMC13481581

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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.