{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T09:13:02Z","timestamp":1794042782635,"version":"4.8.0"},"reference-count":47,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,1,5]],"date-time":"2017-01-05T00:00:00Z","timestamp":1483574400000},"content-version":"vor","delay-in-days":4,"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":[[2017,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Internal rectal prolapse (<jats:styled-content style=\"fixed-case\">IRP<\/jats:styled-content>) is a unique functional disorder that presents with a wide spectrum of clinical symptoms, including constipation and\/or faecal incontinence (<jats:styled-content style=\"fixed-case\">FI<\/jats:styled-content>). The present review aims to analyse the results of trials evaluating the role of abdominal rectopexy in the treatment of <jats:styled-content style=\"fixed-case\">IRP<\/jats:styled-content> with regard to regarding functional and technical outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A systematic review of the literature for the role of abdominal rectopexy in patients with <jats:styled-content style=\"fixed-case\">IRP<\/jats:styled-content> was conducted. PubMed\/Medline, Embase and the Cochrane Central Register of Controlled Trials were searched for published and unpublished studies from January 2000 to December 2015.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We reviewed 14 studies including 1301 patients (1180 women) of a median age of 59\u00a0years. The weighted mean rates of improvement of obstructed defaecation (<jats:styled-content style=\"fixed-case\">OD<\/jats:styled-content>) and <jats:styled-content style=\"fixed-case\">FI<\/jats:styled-content> across the studies were 73.9% and 60.2%, respectively. Twelve studies reported clinical recurrence in 84 (6.9%) patients. The weighted mean recurrence rate of <jats:styled-content style=\"fixed-case\">IRP<\/jats:styled-content> among the studies was 5.8% (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 4.2\u20137.5). Two hundred and thirty complications were reported with a weighted mean complication rate of 15%. Resection rectopexy had lower recurrence rates than did ventral rectopexy, whereas ventral rectopexy achieved better symptomatic improvement, a shorter operative time and a lower complication rate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Abdominal rectopexy for <jats:styled-content style=\"fixed-case\">IRP<\/jats:styled-content> attained satisfactory results with improvement of <jats:styled-content style=\"fixed-case\">OD<\/jats:styled-content> and, to a lesser extent, <jats:styled-content style=\"fixed-case\">FI<\/jats:styled-content>, a low incidence of recurrence and an acceptable morbidity rate. Although ventral rectopexy was associated with higher recurrence rates, lower complication rates and better improvement of bowel symptoms than resection rectopexy, these findings cannot be confirmed owing to the limitations of this review.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.13574","type":"journal-article","created":{"date-parts":[[2016,12,10]],"date-time":"2016-12-10T13:48:04Z","timestamp":1481377684000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":60,"title":["Abdominal rectopexy for the treatment of internal rectal prolapse: a systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"19","author":[{"given":"S. H.","family":"Emile","sequence":"first","affiliation":[{"name":"General Surgery Department Colorectal Surgery Unit Mansoura Faculty of Medicine Mansoura University Mansoura City Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. 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