{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,9]],"date-time":"2023-10-09T22:32:29Z","timestamp":1696890749075},"reference-count":19,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2005,3,18]],"date-time":"2005-03-18T00:00:00Z","timestamp":1111104000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2005,4,25]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The results of conventional treatment for rectal intussusception and rectocele are unpredictable. The aim was to develop a less invasive surgical approach and to evaluate outcome in selected patients.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Seventeen patients (13 women; median age 47 (range 20\u201367) years) with rectal evacuatory dysfunction and rectal intussusception, 13 of whom had a rectocele, were selected. The intussusception was corrected by external pelvic suspension of the rectum, using collagen strips attached to the rectal wall and pubis. The rectocele was repaired with a collagen patch. Patients were assessed before and 6 months after surgery by symptom and quality of life questionnaires, anorectal physiological investigation and proctography, and were followed up for a median of 12 months.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Sepsis requiring exploration occurred in two patients but there was no extrusion or need to remove the collagen. Of the 15 patients assessed after surgery, total symptom scores were significantly decreased (P &amp;lt; 0\u00b7001) and quality of life scores improved (P &amp;lt; 0\u00b7001). Proctographically, the degree of intussusception was improved in ten patients; six patients had normal postoperative proctograms. The rectocele was reduced in size in all patients, and was not demonstrable in eight.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>An effective procedure for rectal intussusception and rectocele has been developed in a selected group of patients with marked evacuatory symptoms.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.4904","type":"journal-article","created":{"date-parts":[[2005,3,19]],"date-time":"2005-03-19T11:09:39Z","timestamp":1111230579000},"page":"598-604","source":"Crossref","is-referenced-by-count":20,"title":["EXternal Pelvic REctal SuSpension (Express procedure) for rectal intussusception, with and without rectocele repair"],"prefix":"10.1093","volume":"92","author":[{"given":"N S","family":"Williams","sequence":"first","affiliation":[{"name":"Centre for Academic Surgery, 4th floor Alexandra Wing, The Royal London Hospital, Whitechapel, London E1 1BB, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L S","family":"Dvorkin","sequence":"additional","affiliation":[{"name":"Centre for Academic Surgery, 4th floor Alexandra Wing, The Royal London Hospital, Whitechapel, London E1 1BB, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Giordano","sequence":"additional","affiliation":[{"name":"Centre for Academic Surgery, 4th floor Alexandra Wing, The Royal London Hospital, Whitechapel, London E1 1BB, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S M","family":"Scott","sequence":"additional","affiliation":[{"name":"Centre for Academic Surgery, 4th floor Alexandra Wing, The Royal London Hospital, Whitechapel, London E1 1BB, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Huang","sequence":"additional","affiliation":[{"name":"Centre for Academic Surgery, 4th floor Alexandra Wing, The Royal London Hospital, Whitechapel, London E1 1BB, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J N R","family":"Frye","sequence":"additional","affiliation":[{"name":"Centre for Academic Surgery, 4th floor Alexandra Wing, The Royal London Hospital, Whitechapel, London E1 1BB, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M E","family":"Allison","sequence":"additional","affiliation":[{"name":"Centre for Academic Surgery, 4th floor Alexandra Wing, The Royal London Hospital, Whitechapel, London E1 1BB, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P J","family":"Lunniss","sequence":"additional","affiliation":[{"name":"Centre for Academic Surgery, 4th floor Alexandra Wing, The Royal London Hospital, Whitechapel, London E1 1BB, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2005,3,18]]},"reference":[{"key":"2021070906083110100_bib1","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1007\/BF02235267","article-title":"Is rectal intussusception a cause of idiopathic incontinence?","volume":"41","author":"Lazorthes","year":"1998","journal-title":"Dis Colon Rectum"},{"key":"2021070906083110100_bib2","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1007\/BF02237241","article-title":"Long-term results and functional outcome after Ripstein rectopexy","volume":"43","author":"Schultz","year":"2000","journal-title":"Dis Colon Rectum"},{"key":"2021070906083110100_bib3","doi-asserted-by":"crossref","first-page":"1026","DOI":"10.1007\/BF02252991","article-title":"Internal rectal intussusception: results of surgical repair","volume":"35","author":"Christiansen","year":"1992","journal-title":"Dis Colon Rectum"},{"key":"2021070906083110100_bib4","doi-asserted-by":"crossref","first-page":"811","DOI":"10.1007\/BF02066975","article-title":"Autonomic influences on colorectal motility and pelvic surgery","volume":"16","author":"Varma","year":"1992","journal-title":"World J Surg"},{"key":"2021070906083110100_bib5","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1007\/BF02052205","article-title":"Effect of abdominal Ivalon rectopexy on bowel habit and rectal wall","volume":"33","author":"Allen-Mersh","year":"1990","journal-title":"Dis Colon Rectum"},{"key":"2021070906083110100_bib6","doi-asserted-by":"crossref","first-page":"1494","DOI":"10.1067\/mob.2002.129162","article-title":"Incidence of occult rectal prolapse in patients with clinical rectoceles and defecatory dysfunction","volume":"187","author":"Thompson","year":"2002","journal-title":"Am J Obstet Gynecol"},{"key":"2021070906083110100_bib7","doi-asserted-by":"crossref","first-page":"684","DOI":"10.1007\/BF02150745","article-title":"Rectocele repair. Four years' experience","volume":"33","author":"Arnold","year":"1990","journal-title":"Dis Colon Rectum"},{"key":"2021070906083110100_bib8","doi-asserted-by":"crossref","first-page":"1737","DOI":"10.1136\/gut.30.12.1737","article-title":"Defaecography in normal volunteers: results and implications","volume":"30","author":"Shorvon","year":"1989","journal-title":"Gut"},{"key":"2021070906083110100_bib9","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1007\/s10350-004-6529-x","article-title":"Rectal hyposensitivity: prevalence and clinical impact in patients with intractable constipation and faecal incontinence","volume":"46","author":"Gladman","year":"2003","journal-title":"Dis Colon Rectum"},{"key":"2021070906083110100_bib10","doi-asserted-by":"crossref","first-page":"641","DOI":"10.2214\/ajr.176.3.1760641","article-title":"Defecographic measurements of rectal intussusception and prolapse in patients and in asymptomatic subjects","volume":"176","author":"Pomerri","year":"2001","journal-title":"AJR Am J Roentgenol"},{"key":"2021070906083110100_bib11","doi-asserted-by":"crossref","first-page":"419","DOI":"10.3109\/07853899009147281","article-title":"Intussusception of the rectum and the solitary ulcer syndrome","volume":"22","author":"Ihre","year":"1990","journal-title":"Ann Med"},{"key":"2021070906083110100_bib12","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1007\/BF00316999","article-title":"Functional results after treatment of rectal prolapse with rectopexy and sigmoid resection","volume":"19","author":"Huber","year":"1995","journal-title":"World J Surg"},{"key":"2021070906083110100_bib13","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1007\/BF02052209","article-title":"Delorme's transrectal excision for internal rectal prolapse. Patient selection, technique, and three-year follow-up","volume":"33","author":"Berman","year":"1990","journal-title":"Dis Colon Rectum"},{"key":"2021070906083110100_bib14","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1016\/S0007-1226(03)00383-7","article-title":"Prefabricated skin flaps in a rat model based on a dermal replacement matrix Permacol","volume":"56","author":"MacLeod","year":"2003","journal-title":"Br J Plast Surg"},{"key":"2021070906083110100_bib15","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/BF02053330","article-title":"Outpatient protocol for biofeedback therapy of pelvic floor outlet obstruction","volume":"35","author":"Fleshman","year":"1992","journal-title":"Dis Colon Rectum"},{"key":"2021070906083110100_bib16","doi-asserted-by":"crossref","first-page":"845","DOI":"10.1007\/BF02555360","article-title":"Results of the Ripstein operation in the treatment of rectal prolapse and internal rectal procidentia","volume":"29","author":"Holmstr\u00f6m","year":"1986","journal-title":"Dis Colon Rectum"},{"key":"2021070906083110100_bib17","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1046\/j.1463-1318.2001.00245.x","article-title":"Results of anterior levatorplasty for rectocele","volume":"3","author":"Lamah","year":"2001","journal-title":"Colorectal Dis"},{"key":"2021070906083110100_bib18","first-page":"253","volume-title":"Preliminary results of transanal rectal resection by double circular stapling (PPH) in the management of obstructed defaecation. A multicentric prospective trial. Proceedings Societa Italiana Unitaria di Coloproctologia","author":"Landolfi","year":"2002"},{"key":"2021070906083110100_bib19","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1007\/s10151-003-0026-4","article-title":"Bleeding, incontinence, pain and constipation after STARR transanal double stapling rectotomy for obstructed defecation","volume":"7","author":"Dodi","year":"2003","journal-title":"Tech Coloproctol"}],"container-title":["British Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.4904","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/academic.oup.com\/bjs\/article-pdf\/92\/5\/598\/36732248\/bjs4904.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/bjs\/article-pdf\/92\/5\/598\/36732248\/bjs4904.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,9]],"date-time":"2021-07-09T14:36:50Z","timestamp":1625841410000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/92\/5\/598\/6144145"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,3,18]]},"references-count":19,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2005,3,18]]},"published-print":{"date-parts":[[2005,4,25]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.4904","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"value":"0007-1323","type":"print"},{"value":"1365-2168","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2005,5]]},"published":{"date-parts":[[2005,3,18]]}}}