{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T22:03:19Z","timestamp":1790373799962,"version":"4.1.0"},"reference-count":27,"publisher":"Walter de Gruyter GmbH","issue":"1","license":[{"start":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T00:00:00Z","timestamp":1677628800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,10,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_iss-2022-0027_abs_001\">\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Pelvic floor disorders are frequently caused by\u00a0an organ prolapse involving multiple pelvic floor compartments. In such cases, a multidisciplinary strategy for diagnostic work-up and therapy is required.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_iss-2022-0027_abs_002\">\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>All patients who underwent transabdominal rectopexy\/resection rectopexy alone or in combination with simultaneous gynecological pelvic floor reconstruction at our institution between 01\/2006 and 12\/2021 were included in this retrospective study. The study aimed to evaluate the functional outcome and postoperative complications.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_iss-2022-0027_abs_003\">\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Two hundred and eighty seven patients were assigned to one of the following groups: PG1\u00a0\u2013 patient group one: after resection rectopexy (n=141); PG2\u00a0\u2013 after ventral rectopexy (n=8); PG3\u00a0\u2013 after combined resection rectopexy and sacro (cervico)colpopexy (n=62); PG4\u00a0\u2013 after combined resection rectopexy and <jats:italic>trans<\/jats:italic>-vaginal pelvic floor repair (n=76). The duration of follow-up was 14\u00a0months for PG1 (median, IQR 37\u00a0months), 11\u00a0months for PG2 (mean, SD 9\u00a0months), 7\u00a0months for PG 3 (median, IQR 33\u00a0months), and 12\u00a0months for PG 4 (median, IQR 51\u202fMonths). The surgical procedure resulted in improvement of symptoms related to obstructed defecation in 56.4\u202f% (22\/39) of the patients in PG1, 25\u202f% in PG2 (1\/4), 62.5\u202f% (20\/32) in PG3, and 71.8\u202f% (28\/39) in PG4. \u201c<jats:italic>De novo<\/jats:italic>\u201d constipation was reported by 2.4\u202f% (2\/141) of patients from PG1. Improvement in fecal incontinence symptoms was reported by 69\u202f% (40\/58) of patients in PG1, 100\u202f% in PG2 (2\/2), 93.1\u202f% (27\/29) in PG3, and 87.2\u202f% (34\/39) in PG4. The recurrence rate for external rectal prolapse was 7.1\u202f% in PG1, 50\u202f% in PG2 (1\/2), 2.7\u202f% in PG3, and 6.3\u202f% in PG4. A significant difference in terms of severe morbidity (grade\u00a0\u2265 IIIb) and mortality could not be determined between the non-interdisciplinary (PG1 with PG2) and interdisciplinary surgery (PG3 with PG4) (p=0.88, p=0.499).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_iss-2022-0027_abs_004\">\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Based on our results, we can assume that combined surgery is as feasible as rectal surgery alone. In our study, combined interventions were effective and not associated with an increased risk of postoperative complications.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1515\/iss-2022-0027","type":"journal-article","created":{"date-parts":[[2023,7,28]],"date-time":"2023-07-28T10:21:05Z","timestamp":1690539665000},"page":"29-36","source":"Crossref","is-referenced-by-count":5,"title":["Resection rectopexy as part of the multidisciplinary approach in the management of complex pelvic floor disorders"],"prefix":"10.1515","volume":"8","author":[{"given":"Georgi","family":"Kalev","sequence":"first","affiliation":[{"name":"Department of General, Visceral, Thoracic and Pediatric Surgery , Ludwigsburg Hospital , Ludwigsburg , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Marquardt","sequence":"additional","affiliation":[{"name":"Department of General, Visceral, Thoracic and Pediatric Surgery , Ludwigsburg Hospital , Ludwigsburg , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marten","family":"Schmerer","sequence":"additional","affiliation":[{"name":"Department of General, Visceral, Thoracic and Pediatric Surgery , Ludwigsburg Hospital , Ludwigsburg , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anja","family":"Ulrich","sequence":"additional","affiliation":[{"name":"Department of General, Visceral, Thoracic and Pediatric Surgery , Ludwigsburg Hospital , Ludwigsburg , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfgang","family":"Heyl","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Ludwigsburg Hospital , Ludwigsburg , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Schiedeck","sequence":"additional","affiliation":[{"name":"Department of General, Visceral, Thoracic and Pediatric Surgery , Ludwigsburg Hospital , Ludwigsburg , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2023,7,31]]},"reference":[{"key":"2023101416110645223_j_iss-2022-0027_ref_001","doi-asserted-by":"crossref","unstructured":"Barber, MD, Maher, C. 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