{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T19:09:17Z","timestamp":1777489757139,"version":"3.51.4"},"reference-count":29,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2018,9,25]],"date-time":"2018-09-25T00:00:00Z","timestamp":1537833600000},"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":[[2018,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Ventral rectopexy (<jats:styled-content style=\"fixed-case\">VR<\/jats:styled-content>) has gained popularity in the management of obstructive defaecation syndrome (<jats:styled-content style=\"fixed-case\">ODS<\/jats:styled-content>) due to a symptomatic rectocele \u00b1 intussusception. Data on the efficacy and safety of <jats:styled-content style=\"fixed-case\">VR<\/jats:styled-content> are variable and there are few predictors of successful outcome. This study aimed to examine whether or not an adverse obstetric history influenced the functional outcome following <jats:styled-content style=\"fixed-case\">VR<\/jats:styled-content> for <jats:styled-content style=\"fixed-case\">ODS<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>This was a retrospective study of a cohort of 76 consecutive patients who had undergone <jats:styled-content style=\"fixed-case\">VR<\/jats:styled-content> for <jats:styled-content style=\"fixed-case\">ODS<\/jats:styled-content> at a tertiary referral centre between 2012 and 2015. Patients were followed up by telephone questionnaire. The obstetric history and pre\u2010 and postoperative symptoms of <jats:styled-content style=\"fixed-case\">ODS<\/jats:styled-content> and faecal incontinence (<jats:styled-content style=\"fixed-case\">FI<\/jats:styled-content>) were obtained from telephone interviews.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In this cohort, symptoms of <jats:styled-content style=\"fixed-case\">ODS<\/jats:styled-content> were significantly improved by surgery, with 56% of patients showing a reduction of symptoms of 50% or more (<jats:italic>P<\/jats:italic> &lt; 0.001). Subgroup analysis demonstrated that a lower body mass index (<jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>; 24.4 <jats:italic>vs<\/jats:italic> 27.3 kg\/m<jats:sup>2<\/jats:sup>; <jats:italic>P<\/jats:italic> &lt; 0.05) and shorter duration of symptoms (7 <jats:italic>vs<\/jats:italic> 10 years; <jats:italic>P<\/jats:italic> &lt; 0.05) led to a better outcome. <jats:styled-content style=\"fixed-case\">VR<\/jats:styled-content> had no effect on <jats:styled-content style=\"fixed-case\">FI<\/jats:styled-content>. Obstetric factors such as foetal weight, instrumental delivery, episiotomy, perineal tear and total number of deliveries did not influence outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Patients with a less straightforward obstetric history can be reassured that this should not adversely influence the functional outcome after <jats:styled-content style=\"fixed-case\">VR<\/jats:styled-content> for <jats:styled-content style=\"fixed-case\">ODS<\/jats:styled-content>. Colorectal surgeons who offer this surgery should warn patients with an elevated <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> or with longstanding symptoms that the operation may be less successful than for those with a lower <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> or shorter duration of symptoms.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.14392","type":"journal-article","created":{"date-parts":[[2018,9,1]],"date-time":"2018-09-01T10:44:41Z","timestamp":1535798681000},"page":"1125-1131","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Adverse obstetric history is not a risk factor for poor outcome after ventral rectopexy for obstructive defaecation syndrome"],"prefix":"10.1111","volume":"20","author":[{"given":"D.","family":"Kremel","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery Western General Hospital Edinburgh 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