{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T01:49:38Z","timestamp":1773712178533,"version":"3.50.1"},"reference-count":19,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,4,7]],"date-time":"2025-04-07T00:00:00Z","timestamp":1743984000000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>The aim of this improvement collaborative is to explore the variation in care within and between Flemish hospitals in preoperative assessment, surgical indications, perioperative management and surgical technique for ventral mesh rectopexy (VMR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>This observational, cross\u2010sectional multicentre study was performed in 14 Flemish hospitals. Twenty consecutive patients per hospital undergoing primary VMR in 2022 were included. Quality of care was assessed via predefined perioperative disease\u2010specific quality indicators (QIs) by means of structured questionnaires. Data were collected from electronic patient files.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 280 patients were included. All patients were female and their mean age was 62\u2009\u00b1\u200914\u2009years. Significant intra\u2010 and interhospital variation was observed in preoperative work\u2010up, indications, operative technique and postoperative management. Total rectal prolapse was the indication for VMR in only 17.5% of the patients. The surgical approach was minimally invasive in all cases, with 40% via a robotic and 60% a laparoscopic approach. Fifteen per cent of patients had mechanical bowel preparation. All centres used a synthetic polypropylene mesh to perform a VMR, and in 85.6% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009238) of all patients a lightweight mesh was used. Diverging practices were noted as to type of mesh fixation to the rectum. In one third of patients a nonresorbable suture was combined with biological glue (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200989, 31.8%). The overall mean length of stay was 2.1 (\u00b1\u20092.7) days. Only 3% of the procedures were performed as same day discharge, 47% of the patients remained for 1\u2009day and 50% for \u22652\u2009days. Only four patients were readmitted within 30\u2009days after surgery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study shows a significant variation in the perioperative management and surgical technique for VMR between hospitals, ongoing controversies and a lack of standardization. This collaborative can serve as a structured feedback tool to define minimum QIs and minimum outcome reporting parameters. Consensus building and adherence to evidence\u2010based guidelines should reduce variation in care processes and lead to improved patient outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/codi.70084","type":"journal-article","created":{"date-parts":[[2025,4,8]],"date-time":"2025-04-08T02:17:21Z","timestamp":1744078641000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Ventral mesh rectopexy: Variations in technique and care process. A multicentre study"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0204-2549","authenticated-orcid":false,"given":"Ellen","family":"Coeckelberghs","sequence":"first","affiliation":[{"name":"Leuven Institute for Healthcare Policy KU Leuven\u2010University of Leuven  Leuven Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed M.","family":"Chaoui","sequence":"additional","affiliation":[{"name":"Department of Abdominal Surgery University Hospitals Leuven  Leuven Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Abasbassi","sequence":"additional","affiliation":[{"name":"Department of Abdominal Surgery AZ Oostende  Ostend Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9212-9287","authenticated-orcid":false,"given":"Gabriele","family":"Bislenghi","sequence":"additional","affiliation":[{"name":"Department of Abdominal Surgery University Hospitals Leuven  Leuven Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katrien","family":"Boon","sequence":"additional","affiliation":[{"name":"Department of General Surgery Noorderhart  Overpelt Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michel","family":"Goethals","sequence":"additional","affiliation":[{"name":"Department of Abdominal Surgery St\u2010Elisabeth Hospital  Zottegem Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tom","family":"Hendrickx","sequence":"additional","affiliation":[{"name":"Department of General and Abdominal Surgery Hospital AZ Turnhout  Turnhout Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bert","family":"Houben","sequence":"additional","affiliation":[{"name":"Department of Abdominal Surgery Jessa Hospital  Hasselt Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Krick","sequence":"additional","affiliation":[{"name":"Department of Abdominal Surgery OLV Hospitals  Aalst, Asse, Ninove Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frederic","family":"Meekers","sequence":"additional","affiliation":[{"name":"Department of Adbominal Surgery AZ Diest  Diest Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Pattyn","sequence":"additional","affiliation":[{"name":"Department of Adbominal Surgery AZ Delta  Roeselare Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pieter","family":"Pletinckx","sequence":"additional","affiliation":[{"name":"Department of Surgery Maria Middelares Hospital  Ghent Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah","family":"Seys","sequence":"additional","affiliation":[{"name":"Leuven Institute for Healthcare Policy KU Leuven\u2010University of Leuven  Leuven Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jasper","family":"Stijns","sequence":"additional","affiliation":[{"name":"Department of Surgery University Hospital Brussel  Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sylvie","family":"Van den Broeck","sequence":"additional","affiliation":[{"name":"Department of Abdominal, Pediatric and Reconstructive Surgery Antwerp University Hospital  Edegem Belgium"},{"name":"Antwerp ReSURG, Anatomy and Research Centre (ASTARC), Faculty of Medicine and Health Sciences University of Antwerp  Antwerp Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bart","family":"Van Geluwe","sequence":"additional","affiliation":[{"name":"Department of Abdominal Surgery AZ Groeninge  Kortijk 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