{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T03:56:03Z","timestamp":1792814163156,"version":"4.5.0"},"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 mesh rectopexy (<jats:styled-content style=\"fixed-case\">LVMR<\/jats:styled-content>) is increasingly recognized as having utility in rectal prolapse, obstructive defaecation syndrome (ODS), faecal incontinence (<jats:styled-content style=\"fixed-case\">FI<\/jats:styled-content>) and multicompartment pelvic floor dysfunction (<jats:styled-content style=\"fixed-case\">PFD<\/jats:styled-content>). This study aimed to highlight gaps in service provision and areas for improvement by examining a cohort of patients with complications referred to a tertiary centre.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Examination was carried out of a password\u2010protected electronic database of all <jats:styled-content style=\"fixed-case\">LVMR<\/jats:styled-content>s operated on in one institution.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty patients (45 women), median age 54 (range, 24\u201371) years, were referred with early symptomatic failure (<jats:italic>n\u00a0<\/jats:italic>=\u00a027) following an inadequate <jats:styled-content style=\"fixed-case\">LVMR<\/jats:styled-content> or major mesh complications (erosion into another organ, fistulation or stricturing) (<jats:italic>n<\/jats:italic>\u00a0=\u00a023). All were amenable to remedial laparoscopic surgery. Functional improvements were found in pre\u2010 and postoperative <jats:styled-content style=\"fixed-case\">ODS<\/jats:styled-content>, Wexner (<jats:styled-content style=\"fixed-case\">FI<\/jats:styled-content>) scores (two\u2010tailed <jats:italic>t<\/jats:italic>\u2010test; <jats:italic>P\u00a0<\/jats:italic>&lt;\u00a00.0001) and quality of life (Birmingham Bowel and Urinary Symptoms Questionnaire\u201022) scores at 3\u00a0months (two\u2010tailed <jats:italic>t<\/jats:italic>\u2010test; <jats:italic>P\u00a0<\/jats:italic>&lt;\u00a00.001) and normalization at 1\u00a0year (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.015). This was mirrored by improved linear bowel symptom severity visual analogue scale scores (two\u2010tailed <jats:italic>t<\/jats:italic>\u2010test; <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.0001 at 3 months and <jats:italic>P<\/jats:italic>\u00a0=\u00a00.015 at 1\u00a0year) .<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">LVMR<\/jats:styled-content> can be associated with technical complications arising from inadequate technique or from operation\u2010specific complications that are amenable to complex revisional laparoscopic surgery with significant improvement in quality of life and function.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.12164","type":"journal-article","created":{"date-parts":[[2013,2,5]],"date-time":"2013-02-05T13:14:39Z","timestamp":1360070079000},"page":"707-712","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":73,"title":["EXPRESSION OF CONCERN: How to deal with complications after laparoscopic ventral mesh rectopexy: lessons learnt from a tertiary referral centre"],"prefix":"10.1111","volume":"15","author":[{"given":"A. 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