{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T14:29:06Z","timestamp":1782570546187,"version":"3.54.5"},"reference-count":23,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2013,6,24]],"date-time":"2013-06-24T00:00:00Z","timestamp":1372032000000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2013,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Laparoscopic ventral rectopexy (<jats:styled-content style=\"fixed-case\">LVR<\/jats:styled-content>) is a non\u2010resectional technique for selected patients with full\u2010thickness rectal prolapse and obstructed defaecation syndrome. Despite its challenges, <jats:styled-content style=\"fixed-case\">LVR<\/jats:styled-content> can be performed with relatively minimal patient trauma thus creating the potential for same\u2010day discharge. Our aim was to assess the safety of day\u2010case <jats:styled-content style=\"fixed-case\">LVR<\/jats:styled-content> and identify factors associated with same\u2010day discharge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Data were prospectively collected on all patients (<jats:italic>n\u00a0=\u00a0<\/jats:italic>120) from <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>une 2008 to <jats:styled-content style=\"fixed-case\">O<\/jats:styled-content>ctober 2011. Variables included demographics, perioperative details and postoperative course. Primary outcome was length of stay and secondary outcome was symptom improvement at the latest outpatient follow\u2010up. Patients discharged the same day after <jats:styled-content style=\"fixed-case\">LVR<\/jats:styled-content> were compared with those who stayed overnight or longer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Indications included rectocele and internal prolapse (47%), full\u2010thickness rectal prolapse (44%) and other (9%). Mean operative time was 97\u00a0min, same\u2010day discharge occurred with 23% (<jats:italic>n\u00a0=\u00a0<\/jats:italic>27) and 67% (<jats:italic>n\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>80) were discharged on postoperative day 1. In terms of complications, 89% had none, 8% minor and 3% major, including one 24\u2010h readmission for pain. Logistic regression identified younger age (<jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.054) and private insurance status (<jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.001) as being significantly associated with same\u2010day discharge. Although surgical indication (<jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.001), no prior hysterectomy (<jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.012) and use of biological mesh (<jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.012) had significant association they were probably confounded by age.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In selected patients with rectal prolapse or obstructed defaecation, same\u2010day discharge after <jats:styled-content style=\"fixed-case\">LVR<\/jats:styled-content> is feasible and safe. Our analysis identified quicker discharge in the private system with younger patients. Nevertheless, in unselected patients 90% were discharged by the first operative day.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.12110","type":"journal-article","created":{"date-parts":[[2013,1,15]],"date-time":"2013-01-15T17:56:50Z","timestamp":1358272610000},"page":"700-706","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Day\u2010case laparoscopic ventral rectopexy: an achievable reality"],"prefix":"10.1111","volume":"15","author":[{"given":"M. P.","family":"Powar","sequence":"first","affiliation":[{"name":"Cambridge Colorectal Unit Addenbrooke's Hospital Cambridge University Hospitals NHS Foundation Trust Cambridge UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"J. 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