{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T10:17:44Z","timestamp":1791195464418,"version":"4.1.0"},"reference-count":25,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2015,7,17]],"date-time":"2015-07-17T00:00:00Z","timestamp":1437091200000},"content-version":"vor","delay-in-days":0,"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":[[2015,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>There are no available guidelines to support surgical decision\u2010making in recurrent rectal prolapse. This systematic review evaluated the results of abdominal or perineal surgery for recurrent rectal prolapse, with the aim of developing an evidence\u2010based treatment algorithm.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>PubMed and <jats:styled-content style=\"fixed-case\">MEDLINE<\/jats:styled-content> databases were searched for all clinical studies involving patients who underwent surgery for recurrent rectal prolapse between 1950 and 2014. The primary outcome measure was the recurrence rate after abdominal or perineal surgery for recurrent rectal prolapse. Secondary outcomes included morbidity, mortality and quality of life data where available.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no randomized controlled studies comparing the success rates of abdominal or perineal surgery for recurrent rectal prolapse. Most studies were heterogeneous, of low quality (level IV) and involved small numbers of patients. The follow\u2010up of 144 patients included in the studies undergoing perineal surgery ranged from 8.8 to 81\u00a0months, with recurrence rates varying from 0% to 50%. Morbidity ranged from 0% to 17% with no mortality reported. Limited data on quality of life following the Altemeier procedure were available. The follow\u2010up for 158 patients included in the studies who underwent abdominal surgery ranged from 0 to 23\u00a0years, during which recurrence rates varied from 0% to 15%. Morbidity rates ranged from 0% to 32% with 4% mortality. No quality of life data were available for patients undergoing abdominal surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This systematic review was unable to develop a treatment algorithm for recurrent rectal prolapse due to the variety of surgical techniques described and the low level of evidence within heterogeneous studies. Larger high\u2010quality studies are necessary to guide practice in this difficult area.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.12946","type":"journal-article","created":{"date-parts":[[2015,3,14]],"date-time":"2015-03-14T07:39:55Z","timestamp":1426318795000},"page":"657-664","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":53,"title":["A systematic review of the literature on the surgical management of recurrent rectal prolapse"],"prefix":"10.1111","volume":"17","author":[{"given":"A.","family":"Hotouras","sequence":"first","affiliation":[{"name":"Academic Surgical Unit Royal London Hospital London UK"},{"name":"Department of Surgery Whittington Hospital NHS Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.","family":"Ribas","sequence":"additional","affiliation":[{"name":"Department of Surgery Consorci Sanitari de Terrassa Terrassa Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Zakeri","sequence":"additional","affiliation":[{"name":"Department of Surgery Whittington Hospital NHS Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Bhan","sequence":"additional","affiliation":[{"name":"Department of Surgery Whittington Hospital NHS Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. 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L.","family":"Chan","sequence":"additional","affiliation":[{"name":"Academic Surgical Unit Royal London Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Murphy","sequence":"additional","affiliation":[{"name":"Physiology Unit St Mark's Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,7,17]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.12177"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/145749690509400306"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02234167"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0b013e31827ba32c"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2009.01891.x"},{"key":"e_1_2_7_7_1","first-page":"CD001758","article-title":"Surgery for complete rectal prolapse in adults","author":"Tou S","year":"2008","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_7_8_1","first-page":"24","article-title":"Rectal prolapse: a 10\u2010year experience","volume":"7","author":"Hammond K","year":"2007","journal-title":"Ochsner J"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6060(96)80213-3"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.2298\/ACI1202021X"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02055442"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02050414"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.3393\/ac.2013.29.2.60"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-005-0315-2"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02237435"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.2000.01342.x"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2014.04.011"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0b013e31825042c5"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2011.02734.x"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02483026"},{"key":"e_1_2_7_21_1","first-page":"1549","article-title":"Laparoscopic rectopexy for recurrent rectal prolapse: a safe and simple procedure without a mesh prosthesis","volume":"49","author":"Tsugawa K","year":"2002","journal-title":"Hepatogastroenterology"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02482800"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02552998"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800700415"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800840705"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-0948-6"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcodi.12946","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.12946","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T01:43:25Z","timestamp":1696297405000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/codi.12946"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,7,17]]},"references-count":25,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2015,8]]}},"alternative-id":["10.1111\/codi.12946"],"URL":"https:\/\/doi.org\/10.1111\/codi.12946","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,7,17]]},"assertion":[{"value":"2014-11-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-01-21","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-07-17","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}