{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T22:58:02Z","timestamp":1780354682558,"version":"3.54.1"},"reference-count":22,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2020,11,5]],"date-time":"2020-11-05T00:00:00Z","timestamp":1604534400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,11,5]],"date-time":"2020-11-05T00:00:00Z","timestamp":1604534400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"The University of Oulu Scholarship Foundation"},{"name":"State research funding"},{"name":"The Mary and Georg C. Ehrnrooth Foundation"},{"name":"University of Oulu including Oulu University Hospital"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Tech Coloproctol"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Minimally invasive ventral mesh rectopexy (VMR) is a widely used surgical treatment for posterior pelvic organ prolapse; however, evidence of the utility of revisional surgery is lacking. Our aim was to assess the technical details, safety and outcomes of redo minimally invasive VMR for patients with external rectal prolapse (ERP) recurrence or relapsed symptoms of internal rectal prolapse (IRP).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This is a retrospective cohort study of patients with recurrent ERP or symptomatic IRP who underwent redo minimally invasive VMR between 2011 and 2016. The study was conducted at three hospitals in Finland. Data collected retrospectively included patient demographics, in addition to perioperative and short-term postoperative findings. At follow-up, all living patients were sent a questionnaire concerning postoperative disease-related symptoms and quality of life.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>A total of 43 redo minimally invasive VMR were performed during the study period. The indication for reoperation was recurrent ERP in 22 patients and relapsed symptoms of IRP in 21 patients. In most operations (62.8%), the previously used mesh was left in situ and a new one was placed. Ten (23.3%) patients experienced complications, including 2 (4.7%) mesh-related complications. The recurrence rate was 4.5% for ERP. Three patients out of 43 were reoperated on for various reasons. One patient required postoperative laparoscopic hematoma evacuation. Patients operated on for recurrent ERP seemed to benefit more from the reoperation.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Minimally invasive redo VMR appears to be a safe and effective procedure for treating posterior pelvic floor dysfunction with acceptable recurrence and reoperation rates.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s10151-020-02369-5","type":"journal-article","created":{"date-parts":[[2020,11,5]],"date-time":"2020-11-05T11:05:07Z","timestamp":1604574307000},"page":"299-307","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Redo ventral rectopexy: is it worthwhile?"],"prefix":"10.1007","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7837-7025","authenticated-orcid":false,"given":"K. E.","family":"Laitakari","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. K.","family":"M\u00e4kel\u00e4-Kaikkonen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Kairaluoma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Junttila","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"K\u00f6ssi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Ohtonen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T. T.","family":"Rautio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,11,5]]},"reference":[{"key":"2369_CR1","doi-asserted-by":"publisher","unstructured":"Tou S, Brown SR, Nelson RL (2015) Surgery for complete (full-thickness) rectal prolapse in adults. Cochrane Database Syst Rev 11:CD001758. https:\/\/doi.org\/10.1002\/14651858.CD001758.pub3","DOI":"10.1002\/14651858.CD001758.pub3"},{"key":"2369_CR2","doi-asserted-by":"publisher","first-page":"5049","DOI":"10.3748\/wjg.v21.i16.5049","volume":"21","author":"JL Faucheron","year":"2015","unstructured":"Faucheron JL, Trilling B, Girard E, Sage PY, Barbois S, Reche F (2015) Anterior rectopexy for full-thickness rectal prolapse: technical and functional results. World J Gastroenterol 21:5049\u20135055. https:\/\/doi.org\/10.3748\/wjg.v21.i16.5049","journal-title":"World J Gastroenterol"},{"key":"2369_CR3","doi-asserted-by":"publisher","first-page":"102","DOI":"10.1111\/codi.12830","volume":"17","author":"L Lundby","year":"2015","unstructured":"Lundby L, Laurberg S (2015) Laparoscopic ventral mesh rectopexy for obstructed defaecation syndrome: time for a critical appraisal. Colorectal Dis 17:102\u2013103. https:\/\/doi.org\/10.1111\/codi.12830","journal-title":"Colorectal Dis"},{"key":"2369_CR4","doi-asserted-by":"publisher","first-page":"526","DOI":"10.1111\/j.1463-1318.2009.01859.x","volume":"12","author":"P Boons","year":"2010","unstructured":"Boons P, Collinson R, Cunningham C, Lindsey I (2010) Laparoscopic ventral rectopexy for external rectal prolapse improves constipation and avoids de novo constipation. Colorectal Dis 12:526\u2013532. https:\/\/doi.org\/10.1111\/j.1463-1318.2009.01859.x","journal-title":"Colorectal Dis"},{"key":"2369_CR5","doi-asserted-by":"publisher","first-page":"1045","DOI":"10.4253\/wjge.v7.i12.1045","volume":"7","author":"A Rickert","year":"2015","unstructured":"Rickert A, Kienle P (2015) Laparoscopic surgery for rectal prolapse and pelvic floor disorders. World J Gastrointest Endosc 7:1045\u20131054. https:\/\/doi.org\/10.4253\/wjge.v7.i12.1045","journal-title":"World J Gastrointest Endosc"},{"key":"2369_CR6","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1007\/s10151-013-1042-7","volume":"18","author":"J M\u00e4kel\u00e4-Kaikkonen","year":"2014","unstructured":"M\u00e4kel\u00e4-Kaikkonen J, Rautio T, Klintrup K, Takala H, Vierimaa M, Ohtonen P, M\u00e4kel\u00e4 J (2014) Robotic-assisted and laparoscopic ventral rectopexy in the treatment of rectal prolapse: a matched-pairs study of operative details and complications. Tech Coloproctol 18:151\u2013155. https:\/\/doi.org\/10.1007\/s10151-013-1042-7","journal-title":"Tech Coloproctol"},{"key":"2369_CR7","doi-asserted-by":"publisher","first-page":"4977","DOI":"10.3748\/wjg.v22.i21.4977","volume":"22","author":"JJ van Iersel","year":"2016","unstructured":"van Iersel JJ, Paulides TJC, Verheijen PM, Lumley JW, Broeders IA, Consten EC (2016) Current status of laparoscopic and robotic ventral mesh rectopexy for external and internal rectal prolapse. World J Gastroenterol 22:4977\u20134987. https:\/\/doi.org\/10.3748\/wjg.v22.i21.4977","journal-title":"World J Gastroenterol"},{"key":"2369_CR8","doi-asserted-by":"publisher","first-page":"529","DOI":"10.1007\/s10151-019-02014-w","volume":"23","author":"S Albayati","year":"2019","unstructured":"Albayati S, Chen P, Morgan MJ, Toh JWT (2019) Robotic vs. laparoscopic ventral mesh rectopexy for external rectal prolapse and rectal intussusception: a systematic review. Tech Coloproctol 23:529\u2013535. https:\/\/doi.org\/10.1007\/s10151-019-02014-w","journal-title":"Tech Coloproctol"},{"key":"2369_CR9","doi-asserted-by":"publisher","first-page":"2444","DOI":"10.1007\/s00464-019-06803-0","volume":"33","author":"SH Emile","year":"2019","unstructured":"Emile SH, Elfeki H, Shalaby M, Sakr A, Sileri P, Wexner SD (2019) Outcome of laparoscopic ventral mesh rectopexy for full-thickness external rectal prolapse: a systematic review, meta-analysis, and meta-regression analysis of the predictors for recurrence. Surg Endosc 33:2444\u20132455. https:\/\/doi.org\/10.1007\/s00464-019-06803-0","journal-title":"Surg Endosc"},{"key":"2369_CR10","doi-asserted-by":"publisher","first-page":"930","DOI":"10.1007\/s00464-019-06851-6","volume":"34","author":"A Postillon","year":"2020","unstructured":"Postillon A, Perrenot C, Germain A, Scherrer ML, Buisset C, Brunaud L, Ayav A, Bresler L (2020) Long-term outcomes of robotic ventral mesh rectopexy for external rectal prolapse. Surg Endosc 34:930\u2013939. https:\/\/doi.org\/10.1007\/s00464-019-06851-6","journal-title":"Surg Endosc"},{"key":"2369_CR11","doi-asserted-by":"publisher","first-page":"178","DOI":"10.1097\/DCR.0000000000000710","volume":"60","author":"CW Fu","year":"2017","unstructured":"Fu CW, Stevenson AR (2017) Risk factors for recurrence after laparoscopic ventral rectopexy. Dis Colon Rectum 60:178\u2013186. https:\/\/doi.org\/10.1097\/DCR.0000000000000710","journal-title":"Dis Colon Rectum"},{"issue":"Suppl. 1","key":"2369_CR12","first-page":"35","volume":"14","author":"E Smyth","year":"2012","unstructured":"Smyth E, Sileri P, Jones O, Cunningham C, Urban J, Lindsey I (2012) Patients with benign joint hypermobility and rectal prolapse: a complex subgroup of patients. Colorectal Dis 14(Suppl. 1):35","journal-title":"Colorectal Dis"},{"key":"2369_CR13","doi-asserted-by":"publisher","first-page":"657","DOI":"10.1111\/codi.12946","volume":"17","author":"A Hotouras","year":"2015","unstructured":"Hotouras A, Ribas Y, Zakeri S, Bhan C, Wexner SD, Chan CL, Murphy J (2015) A systematic review of the literature on the surgical management of recurrent rectal prolapse. Colorectal Dis 17:657\u2013664. https:\/\/doi.org\/10.1111\/codi.12946","journal-title":"Colorectal Dis"},{"key":"2369_CR14","doi-asserted-by":"publisher","first-page":"82","DOI":"10.1111\/codi.12415","volume":"16","author":"MA Mercer-Jones","year":"2014","unstructured":"Mercer-Jones MA, D\u2019Hoore A, Dixon AR, Lehur P, Lindsey I, Mellgren A, Stevenson AR (2014) Consensus on ventral rectopexy: report of a panel of experts. Colorectal Dis 16:82\u201388. https:\/\/doi.org\/10.1111\/codi.12415","journal-title":"Colorectal Dis"},{"key":"2369_CR15","doi-asserted-by":"publisher","first-page":"1561","DOI":"10.1007\/s00384-017-2858-9","volume":"32","author":"B Gurland","year":"2017","unstructured":"Gurland B, e Carvalho MEC, Ridgeway B, Paraiso MFR, Hull T, Zutshi M (2017) Should we offer ventral rectopexy to patients with recurrent external rectal prolapse? Int J Colorectal Dis 32:1561\u20131567. https:\/\/doi.org\/10.1007\/s00384-017-2858-9","journal-title":"Int J Colorectal Dis"},{"key":"2369_CR16","doi-asserted-by":"publisher","first-page":"1763","DOI":"10.1007\/s00384-019-03363-6","volume":"34","author":"M Brunner","year":"2019","unstructured":"Brunner M, Roth H, G\u00fcnther K, Gr\u00fctzmann R, Matzel KE (2019) Ventral rectopexy with biological mesh for recurrent disorders of the posterior pelvic organ compartment. Int J Colorectal Dis 34:1763\u20131769. https:\/\/doi.org\/10.1007\/s00384-019-03363-6","journal-title":"Int J Colorectal Dis"},{"key":"2369_CR17","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1007\/BF02050307","volume":"36","author":"JMN Jorge","year":"1993","unstructured":"Jorge JMN, Wexner SD (1993) Etiology and management of fecal incontinence. Dis Colon Rectum 36:77\u201397. https:\/\/doi.org\/10.1007\/BF02050307","journal-title":"Dis Colon Rectum"},{"key":"2369_CR18","doi-asserted-by":"publisher","first-page":"84","DOI":"10.1111\/j.1463-1318.2007.01262.x","volume":"10","author":"DF Altomare","year":"2008","unstructured":"Altomare DF, Spazzafumo L, Rinaldi M, Dodi G, Ghiselli R, Piloni V (2008) Set-up and statistical validation of a new scoring system for obstructed defaecation syndrome. Colorectal Dis 10:84\u201388. https:\/\/doi.org\/10.1111\/j.1463-1318.2007.01262.x","journal-title":"Colorectal Dis"},{"key":"2369_CR19","doi-asserted-by":"publisher","first-page":"1919","DOI":"10.1007\/s00464-005-0485-y","volume":"20","author":"A D\u2019Hoore","year":"2006","unstructured":"D\u2019Hoore A, Penninckx F (2006) Laparoscopic ventral recto(colpo)pexy for rectal prolapse: surgical technique and outcome for 109 patients. Surg Endosc 20:1919\u20131923. https:\/\/doi.org\/10.1007\/s00464-005-0485-y","journal-title":"Surg Endosc"},{"key":"2369_CR20","doi-asserted-by":"publisher","first-page":"742","DOI":"10.1097\/SLA.0000000000001401","volume":"262","author":"EC Consten","year":"2015","unstructured":"Consten EC, van Iersel JJ, Verheijen PM, Broeders IA, Wolthuis AM, D\u2019Hoore A (2015) Long-term outcome after laparoscopic ventral mesh rectopexy: an observational study of 919 consecutive patients. Ann Surg 262:742\u2013748. https:\/\/doi.org\/10.1097\/SLA.0000000000001401","journal-title":"Ann Surg"},{"key":"2369_CR21","doi-asserted-by":"publisher","first-page":"799","DOI":"10.1097\/DCR.0000000000000402","volume":"58","author":"C Evans","year":"2015","unstructured":"Evans C, Stevenson AR, Sileri P, Mercer-Jones MA, Dixon AR, Cunningham C, Jones OM, Lindsey I (2015) A multicenter collaboration to assess the safety of laparoscopic ventral rectopexy. Dis Colon Rectum 58:799\u2013807. https:\/\/doi.org\/10.1097\/DCR.0000000000000402","journal-title":"Dis Colon Rectum"},{"key":"2369_CR22","doi-asserted-by":"publisher","first-page":"914","DOI":"10.1111\/codi.12741","volume":"16","author":"J Randall","year":"2014","unstructured":"Randall J, Smyth E, McCarthy K, Dixon AR (2014) Outcome of laparoscopic ventral mesh rectopexy for external rectal prolapse. Colorectal Dis 16:914\u2013919. https:\/\/doi.org\/10.1111\/codi.12741","journal-title":"Colorectal Dis"}],"container-title":["Techniques in Coloproctology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s10151-020-02369-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s10151-020-02369-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s10151-020-02369-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,3,4]],"date-time":"2021-03-04T15:12:40Z","timestamp":1614870760000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s10151-020-02369-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,5]]},"references-count":22,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,3]]}},"alternative-id":["2369"],"URL":"https:\/\/doi.org\/10.1007\/s10151-020-02369-5","relation":{},"ISSN":["1123-6337","1128-045X"],"issn-type":[{"value":"1123-6337","type":"print"},{"value":"1128-045X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,5]]},"assertion":[{"value":"27 May 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 October 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 November 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"Tero Rautio MD, PhD, has a Surgical Services Agreement with Intuitive. Authors have no disclosures.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The study has been approved by the Ethical Committee of the Oulu University Hospital and it has been performed according to the Helsinki Declaration.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"All the respondents signed a personal written informed consent.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}