{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:00:16Z","timestamp":1776211216977,"version":"3.50.1"},"reference-count":38,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[1992,2,1]],"date-time":"1992-02-01T00:00:00Z","timestamp":696902400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100004440","name":"Wellcome Trust","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004440","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1992,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>To compare the methods of abdominal rectopexy and to elucidate the mechanism by which rectopexy restores continence inpatients with rectal prolapse, the role of sphincter recovery, rectal morphological changes and improved rectal sensation were assessed in 68 patients (eight men, 60 women) of median age 63 (range 18\u201383) years undergoing resection rectopexy (n = 29), anterior and posterior Marlex\u00ae rectopexy (n = 20), posterior Ivalon\u00ae rectopexy (n = 9) or suture rectopexy (n = 10). Preoperative and postoperative manometry, radiology and electrosensitivity measurements were made. Age and duration of follow-up were similar in all groups and the prolapse was controlled in all patients. Significantly improved continence was seen in all but the Ivalon group. There was no evidence of increasing postoperative constipation. Sphincter length and voluntary contraction were unaltered, but improved resting tone was seen in the resection and suture groups. This was not seen in the prosthetic groups. Improved continence correlated with recovery of resting pressure. Upper anal sensation was improved in all groups. Radiological changes did not correlate with improved continence. We conclude that continence is improved by all rectopexy procedures but seems better without prosthetic material. Sphincter recovery seems to be the most important factor.<\/jats:p>","DOI":"10.1002\/bjs.1800790205","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T16:59:42Z","timestamp":1172941182000},"page":"107-113","source":"Crossref","is-referenced-by-count":109,"title":["Abdominal rectopexy for rectal prolapse: a comparison of techniques"],"prefix":"10.1093","volume":"79","author":[{"given":"G S","family":"Duthie","sequence":"first","affiliation":[{"name":"Ward 11\/12, Royal Infirmary of Edinburgh , 1 Lauriston Place, Edinburgh EH3 9YW,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D C C","family":"Bartolo","sequence":"additional","affiliation":[{"name":"Ward 11\/12, Royal Infirmary of Edinburgh , 1 Lauriston Place, Edinburgh EH3 9YW,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1992,2,1]]},"reference":[{"key":"2024092810415576100_bib1","first-page":"132","article-title":"Colonic resection in the treatment of complete rectal prolapse","volume":"41","author":"Solla","year":"1989","journal-title":"Neth J Surg"},{"key":"2024092810415576100_bib2","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1007\/BF02552654","article-title":"The management of procidentia: 30 years experience","volume":"28","author":"Watts","year":"1985","journal-title":"Dis Colon Rectum"},{"key":"2024092810415576100_bib3","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1002\/bjs.1800750113","article-title":"Complete rectal prolapse: the anatomical and functional results of treatment by extended abdominal rectopexy","volume":"75","author":"Mann","year":"1988","journal-title":"Br J Surg"},{"key":"2024092810415576100_bib4","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1007\/BF01649678","article-title":"Recovery of the internal anal sphincter following rectopexy: a possible explanation for continence improvement","volume":"3","author":"Broden","year":"1988","journal-title":"Int J Color Dis"},{"key":"2024092810415576100_bib5","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1002\/bjs.1800700216","article-title":"Postanal repair for neuropathic faecal incontinence: correlation of clinical result and anal canal pressures","volume":"70","author":"Browning","year":"1983","journal-title":"Br J Surg"},{"key":"2024092810415576100_bib6","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1002\/bjs.1800750115","article-title":"Assessment of microtransducers in anorectal manometry","volume":"75","author":"Miller","year":"1988","journal-title":"Br J Surg"},{"key":"2024092810415576100_bib7","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1002\/bjs.1800730421","article-title":"New method for assessment of anal sensation in various anorectal disorders","volume":"73","author":"Roe","year":"1986","journal-title":"Br J Surg"},{"key":"2024092810415576100_bib8","volume-title":"Intractable idiopathic constipation: diagnosis and surgical management","author":"Roe","year":"1987"},{"key":"2024092810415576100_bib9","doi-asserted-by":"crossref","first-page":"842","DOI":"10.1136\/gut.10.10.842","article-title":"A new method for studying gut transit times using radio-opaque markers","volume":"10","author":"Hinton","year":"1969","journal-title":"Gut"},{"key":"2024092810415576100_bib10","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1007\/BF01649677","article-title":"An analysis of rectal morphology in obstructed defaecation","volume":"3","author":"Bartolo","year":"1988","journal-title":"Int J Color Dis"},{"key":"2024092810415576100_bib11","first-page":"602","article-title":"New operation for rectal prolapse","volume":"52","author":"Wells","year":"1959","journal-title":"Proc R Soc Med"},{"key":"2024092810415576100_bib12","doi-asserted-by":"crossref","first-page":"846","DOI":"10.1002\/bjs.1800591103","article-title":"Experience of Ivalon sponge implant for complete rectal prolapse at St. Mark's Hospital","volume":"59","author":"Penfold","year":"1972","journal-title":"Br J Surg"},{"key":"2024092810415576100_bib13","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1002\/bjs.1800730324","article-title":"Anteroposterior rectopexy in the treatment of solitary rectal ulcer syndrome without overt rectal prolapse","volume":"73","author":"Nicholls","year":"1986","journal-title":"Br J Surg"},{"key":"2024092810415576100_bib14","first-page":"1225","article-title":"The surgical treatment of rectal procidentia","volume":"129","author":"Frykman","year":"1969","journal-title":"Surg Gynecol Obstet"},{"key":"2024092810415576100_bib15","first-page":"103","article-title":"Repair of rectal prolapse by rectosacral suture fixation","volume":"154","author":"Ejerblad","year":"1988","journal-title":"Acta Chir Scand"},{"key":"2024092810415576100_bib16","first-page":"87","article-title":"Complete rectal prolapse: repair by a simple technique","volume":"66","author":"Graham","year":"1984","journal-title":"Ann R Coll Surg Engl"},{"key":"2024092810415576100_bib17","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1007\/BF02564883","article-title":"Towards a selection of the most appropriate procedure in the treatment of complete rectal prolapse","volume":"31","author":"Kuijpers","year":"1988","journal-title":"Dis Colon Rectum"},{"key":"2024092810415576100_bib18","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1136\/pgmj.60.704.411","article-title":"Complete rectal prolapse: results of Ivalon sponge rectopexy","volume":"60","author":"Anderson","year":"1984","journal-title":"Postgrad Med J"},{"key":"2024092810415576100_bib19","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1002\/bjs.1800710317","article-title":"The longterm results of polyvinyl alcohol (Ivalon) sponge for rectal prolapse in young patients","volume":"71","author":"Boulos","year":"1984","journal-title":"Br J Surg"},{"key":"2024092810415576100_bib20","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1002\/bjs.1800700415","article-title":"Results of Marlex mesh abdominal rectopexy for rectal prolapse in 11 consecutive patients","volume":"70","author":"Keighley","year":"1983","journal-title":"Br J Surg"},{"key":"2024092810415576100_bib21","first-page":"123","article-title":"The use of mersilene mesh in rectal prolapse repair","volume":"1","author":"Notaras","year":"1973","journal-title":"Proc R Soc Med"},{"key":"2024092810415576100_bib22","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1002\/bjs.1800760629","article-title":"Management of infection after prosthetic abdominal rectopexy (Wells procedure)","volume":"76","author":"Thompson","year":"1989","journal-title":"Br J Surg"},{"key":"2024092810415576100_bib23","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1007\/BF01648355","article-title":"Absorbable mesh in the treatment of rectal prolapse","volume":"3","author":"Arndt","year":"1988","journal-title":"Int J Color Dis"},{"key":"2024092810415576100_bib24","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1007\/BF02586703","article-title":"Complications of the Ripstein procedure","volume":"21","author":"Gordon","year":"1978","journal-title":"Dis Colon Rectum"},{"key":"2024092810415576100_bib25","doi-asserted-by":"crossref","first-page":"1012","DOI":"10.1002\/bjs.1800731227","article-title":"Flap valve theory of anorectal incontinence","volume":"73","author":"Bartolo","year":"1986","journal-title":"Br J Surg"},{"key":"2024092810415576100_bib26","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1097\/00000658-196502000-00010","article-title":"Complete rectal prolapse: an evaluation of surgical treatment","volume":"161","author":"Beahers","year":"1965","journal-title":"Ann Surg"},{"key":"2024092810415576100_bib27","first-page":"136","article-title":"A comparison between Marlex and resection rectopexy","volume":"41","author":"Duthie","year":"1989","journal-title":"Neth J Surg"},{"key":"2024092810415576100_bib28","first-page":"150","article-title":"Treatment of rectal prolapse: a clinical study of 50 consecutive patients","volume":"76","author":"Lehtola","year":"1987","journal-title":"Ann Chir Gynaecol"},{"key":"2024092810415576100_bib29","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1002\/bjs.1800770209","article-title":"Sutured posterior abdominal rectopexy with sigmoidectomy compared with Marlex rectopexy","volume":"77","author":"Sayfan","year":"1990","journal-title":"Br J Surg"},{"key":"2024092810415576100_bib30","first-page":"379","article-title":"A physiological study of the pelvic floor in rectal prolapse","volume":"31","author":"Porter","year":"1962","journal-title":"Ann R Coll Surg Engl"},{"key":"2024092810415576100_bib31","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1136\/gut.18.8.656","article-title":"Sphincter denervation in anorectal incontinence and rectal prolapse","volume":"18","author":"Parks","year":"1977","journal-title":"Gut"},{"key":"2024092810415576100_bib32","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1002\/bjs.1800680804","article-title":"Physiological studies of the anal musculature in faecal incontinence and rectal prolapse","volume":"68","author":"Neill","year":"1981","journal-title":"Br J Surg"},{"key":"2024092810415576100_bib33","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1007\/BF02562598","article-title":"Increased anal resting pressure following the Ripstein operation: a contribution to continence?","volume":"29","author":"Holmstrom","year":"1986","journal-title":"Dis Colon Rectum"},{"key":"2024092810415576100_bib34","first-page":"23","article-title":"Incontinence and rectal prolapse: a prospective manometric study","volume":"33","author":"Williams","year":"1990","journal-title":"Dis Colon Rectum"},{"key":"2024092810415576100_bib35","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1007\/BF02555512","article-title":"Manometric studies in rectal prolapse","volume":"27","author":"Spencer","year":"1984","journal-title":"Dis Colon Rectum"},{"key":"2024092810415576100_bib36","doi-asserted-by":"crossref","first-page":"1003","DOI":"10.1002\/bjs.1800751018","article-title":"Sensory discrimination and dynamic activity in the anorectum: evidence using a new ambulatory technique","volume":"75","author":"Miller","year":"1988","journal-title":"Br J Surg"},{"key":"2024092810415576100_bib37","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1002\/bjs.1800760120","article-title":"Anorectal function after abdominal rectopexy: parameters of predictive value in identifying return of continence","volume":"76","author":"Yoshioka","year":"1989","journal-title":"Br J Surg"},{"key":"2024092810415576100_bib38","doi-asserted-by":"crossref","first-page":"1058","DOI":"10.1002\/bjs.1800761024","article-title":"Anterior sphincter plication and levatorplasty in the treatment of faecal incontinence","volume":"76","author":"Miller","year":"1989","journal-title":"Br J Surg"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800790205","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/79\/2\/107\/59397290\/bjs1800790205.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/79\/2\/107\/59397290\/bjs1800790205.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T10:42:10Z","timestamp":1727520130000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/79\/2\/107\/6173031"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1992,2,1]]},"references-count":38,"journal-issue":{"issue":"2","published-online":{"date-parts":[[1992,2,1]]},"published-print":{"date-parts":[[1992,2,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800790205","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"value":"0007-1323","type":"print"},{"value":"1365-2168","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1992,2]]},"published":{"date-parts":[[1992,2,1]]}}}