{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T14:33:48Z","timestamp":1789655628540,"version":"4.0.1"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,4]],"date-time":"2026-01-04T00:00:00Z","timestamp":1767484800000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"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":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Rectopexy is the preferred abdominal intervention for rectal prolapse. Despite similar procedural steps \u2013 rectal mobilisation, prolapse reduction, and fixation \u2013 techniques vary widely, and onsensus on the optimal approach is lacking. This study aimed to assess global surgeon preferences and practices in rectopexy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An international 28\u2010item online survey was distributed between November 2023 and March 2024 through professional networks and social media. Questions addressed surgeon demographics, perioperative strategies, and technical approaches to rectopexy. Responses were analysed descriptively and stratified by region and specialty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 226 surgeons from 36 countries across four continents completed the survey. Most respondents (79.6%) administered preoperative intravenous antibiotics, and 80.5% used some form of mechanical bowel preparation. Minimally invasive approaches predominated (81%), with laparoscopy being most common. Posterior dissection was preferred by 61.5%, while 38.5% favoured ventral (anterior) dissection. Two\u2010thirds (68.1%) routinely used mesh, predominantly synthetic. Only 15% performed rectopexy as a day\u2010case procedure. Regional and specialty\u2010related variations were evident in approach, mesh type, and perioperative protocols.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This international survey reveals marked variability in rectopexy practice worldwide. Despite common principles, surgeon preference and regional factors strongly influence decision\u2010making. The findings emphasise the need for updated international guidelines to harmonise technique selection and perioperative management in rectal prolapse surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/codi.70355","type":"journal-article","created":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T04:14:55Z","timestamp":1767586495000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Surgeon preferences and practice patterns in rectopexy: Results of an international survey"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7557-7953","authenticated-orcid":false,"given":"Eleftherios","family":"Gialamas","sequence":"first","affiliation":[{"name":"Division of Abdominal Surgery Geneva University Hospitals  Geneva Switzerland"},{"name":"Medical School University of Geneva  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1224-2296","authenticated-orcid":false,"given":"Isabelle","family":"Uhe","sequence":"additional","affiliation":[{"name":"Division of Abdominal Surgery Geneva University Hospitals  Geneva Switzerland"},{"name":"Medical School University of Geneva  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre\u2010Alain","family":"Tokoto","sequence":"additional","affiliation":[{"name":"Division of Abdominal Surgery Geneva University Hospitals  Geneva Switzerland"},{"name":"Medical School University of Geneva  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emilie","family":"Liot","sequence":"additional","affiliation":[{"name":"Division of Abdominal Surgery Geneva University Hospitals  Geneva Switzerland"},{"name":"Medical School University of Geneva  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fr\u00e9d\u00e9ric","family":"Ris","sequence":"additional","affiliation":[{"name":"Division of Abdominal Surgery Geneva University Hospitals  Geneva Switzerland"},{"name":"Medical School University of Geneva  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8046-5753","authenticated-orcid":false,"given":"Steven D.","family":"Wexner","sequence":"additional","affiliation":[{"name":"Department of Surgery MedStar Georgetown University Hospital  Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremy","family":"Meyer","sequence":"additional","affiliation":[{"name":"Division of Abdominal Surgery Geneva University Hospitals  Geneva Switzerland"},{"name":"Medical School University of Geneva  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guillaume","family":"Meurette","sequence":"additional","affiliation":[{"name":"Division of Abdominal Surgery Geneva University Hospitals  Geneva Switzerland"},{"name":"Medical School University of Geneva  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the International Rectopexy Collaborative Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,4]]},"reference":[{"issue":"11","key":"e_1_2_12_2_1","article-title":"Surgery for complete (full\u2010thickness) rectal prolapse in adults","volume":"2015","author":"Tou S","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2009.01886.x"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-005-0485-y"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-004-9088-2"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-022-02679-w"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.12415"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000003656"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12175751"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.6.3.e34"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-025-05003-8"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000889"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsit-2023-000198"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.3393\/ac.2017.33.2.46"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.12219"},{"key":"e_1_2_12_16_1","first-page":"27","article-title":"Ventral mesh rectopexy: variations in technique and care process. A multicentre study","volume":"4","author":"Coeckelberghs E","year":"2025","journal-title":"Color Dis"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.70355","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/codi.70355","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.70355","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T06:02:10Z","timestamp":1769493730000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/codi.70355"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/codi.70355"],"URL":"https:\/\/doi.org\/10.1111\/codi.70355","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-10-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70355"}}