{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T06:59:26Z","timestamp":1785826766780,"version":"3.56.0"},"reference-count":23,"publisher":"Galenos Yayinevi","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facts Views Vis ObGyn"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:p>Background: Obstructive defecation syndrome (ODS) is frequently associated with pelvic organ prolapse (POP) and compromises the quality of life in affected patients. In cases conservative treatment fails surgical therapy is required.\n\nObjectives: The video case study combines a laparoscopic resection rectopexy (RRP) with a mesh sacrocolpopexy (SCP) in an interdisciplinary surgical approach.\n\nMaterials and Methods: In this video an 86-year-old woman with ODS and POP, suffering from a dolichocolon with rectal intussusception, an apical prolapse after total hysterectomy 1990, and occasional stress urinary incontinence underwent interdisciplinary laparoscopic surgery. A tubular anterior rectal and sigmoid resection with suture rectopexy as in a resection rectopexy (RRP) was combined with a sacrocolpopexy (SCP) using a synthetic mesh.\n\nMain outcome measures: Surgical outcome including postoperative morbidity, functional bowel evacuation, and POP reconstitution as in POP-Q score after surgery were documented.\n\nResults: No intra- or postoperative complications occurred. At 6 months follow-up clinical outcomes for ODS, bowel dysfunction, and faecal control were improved. Anatomical outcome for POP and stress urinary incontinence symptoms were corrected.\n\nConclusions: We report a promising interdisciplinary surgical approach as a single treatment option for the complex medical condition of women suffering from ODS and POP combining laparoscopic RRP with SCP. This surgical approach proved to be feasible, safe, and effective.<\/jats:p>","DOI":"10.52054\/fvvo.16.2.017","type":"journal-article","created":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T21:09:11Z","timestamp":1719868151000},"page":"231-236","source":"Crossref","is-referenced-by-count":4,"title":["Laparoscopic resection rectopexy (RRP) combined with mesh sacrocolpopexy (SCP) for obstructed defecation syndrome with pelvic organ prolapse in an interdisciplinary approach"],"prefix":"10.52054","volume":"16","author":[{"given":"C","family":"Rudroff","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Ludwig","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2811","published-online":{"date-parts":[[2024,6]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Altomare DF, Spazzafumo L, Rinaldi M et al. Set-up and statistical validation of a new scoring system for obstructed defaecation syndrome. Colorectal Dis. 2008;10:84-8.","DOI":"10.1111\/j.1463-1318.2007.01262.x"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Ambe PC, Zarras K, Stodolski M et al. Routine preoperative mechanical bowel preparation with additive oral antibiotics is associated with a reduced risk of anastomotic leakage in patients undergoing elective oncologic resection for colorectal cancer. World J Surg Oncol. 2019;17:20.","DOI":"10.1186\/s12957-019-1563-2"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Andromanakos N, Skandalakis P, Troupiset T al. Constipation of anorectal outlet obstruction: Pathophysiology, evaluation and management. J Gastroenterol Hepatol. 2006;21:638-46.","DOI":"10.1111\/j.1440-1746.2006.04333.x"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Costilla VC, Foxx-Orenstein AE. Constipation. Understanding Mechanisms and Management. Clin Geriatr Med. 2014;30:107-15.","DOI":"10.1016\/j.cger.2013.10.001"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Evans C, Stevenson ARL, Sileri P et al. A multicenter collaboration to assess the safety of laparoscopic ventral rectopexy. Dis Colon Rectum. 2015;58:799-807.","DOI":"10.1097\/dcr.0000000000000402"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Glazener CMA, MacArthur C, Hagen S et al. Twelve-year follow-up of conservative management of postnatal urinary and faecal incontinence and prolapse outcomes: Randomised controlled trial. BJOG. 2014;121-20.","DOI":"10.1111\/1471-0528.12473"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Gonz\u00e1lez-Argent\u00e9 FX, Jain A, Nogueras JJ et al. Prevalence and severity of urinary incontinence and pelvic genital prolapse in females with anal incontinence or rectal prolapse. Dis Colon Rectum. 2001;44:920-6.","DOI":"10.1007\/bf02235476"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Grimes CL, Overholser RH, Xu R et al. Measuring the impact of a posterior compartment procedure on symptoms of obstructed defecation and posterior vaginal compartment anatomy. Int Urogynecol J. 2016;27:1817-23.","DOI":"10.1007\/s00192-016-3046-0"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Guzman Rojas R, Kamisan Atan I, Shek KL et al. The prevalence of abnormal posterior compartment anatomy and its association with obstructed defecation symptoms in urogynecological patients. Int Urogynecol J. 2016;27:939-44.","DOI":"10.1007\/s00192-015-2914-3"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Hagen S, Stark D. Conservative prevention and management of pelvic organ prolapse in women. Cochrane Database Syst Rev. 2011;12:CD003882.","DOI":"10.1002\/14651858.cd003882.pub4"},{"key":"ref10","doi-asserted-by":"crossref","unstructured":"Hasson HM. A modified instrument and method for laparoscopy. Am J Obstet Gynecol. 1971;110:886-7.","DOI":"10.1016\/0002-9378(71)90593-X"},{"key":"ref11","doi-asserted-by":"crossref","unstructured":"Hedrick TL, Friel CM. Constipation and pelvic outlet obstruction. Gastroenterol Clin North Am. 2013;42:863-76.","DOI":"10.1016\/j.gtc.2013.09.004"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"Lee A, Kin C, Syan R et al. Surgical decision-making for rectal prolapse: one size does not fit all. Postgrad Med. 2020;132:256-62.","DOI":"10.1080\/00325481.2019.1669330"},{"key":"ref13","doi-asserted-by":"publisher","unstructured":"Maatouk M, Akid A, Kbir GH et al. Is There a Role for Mechanical and Oral Antibiotic Bowel Preparation for Patients Undergoing Minimally Invasive Colorectal Surgery? A Systematic Review and Meta-analysis. J Gastrointest Surg. 2023;27:1011-25.","DOI":"10.1007\/s11605-023-05636-6"},{"key":"ref14","doi-asserted-by":"publisher","unstructured":"Mattsson NK, Karjalainen PK, Tolppanen AM et al. Pelvic organ prolapse surgery and quality of life\u2014a nationwide cohort study. Am J Obstet Gynecol. 2020;222:588.e1-10.","DOI":"10.1016\/j.ajog.2019.11.1285"},{"key":"ref15","doi-asserted-by":"publisher","unstructured":"McLean R, Kipling M, Musgrave E et al. Short- and long-term clinical and patient-reported outcomes following laparoscopic ventral mesh rectopexy using biological mesh for pelvic organ prolapse: a prospective cohort study of 224 consecutive patients. Colorectal Dis. 2018;20:424-36.","DOI":"10.1111\/codi.13996"},{"key":"ref16","doi-asserted-by":"publisher","unstructured":"Murad-Regadas SM, Rodrigues LV, Furtado DC et al. The influence of age on posterior pelvic floor dysfunction in women with obstructed defecation syndrome. Tech Coloproctol. 2012;16:227-32.","DOI":"10.1007\/s10151-012-0831-8"},{"key":"ref17","doi-asserted-by":"publisher","unstructured":"Sanses TVD, Schiltz NK, Couri BM et al. Functional status in older women diagnosed with pelvic organ prolapse. Am J Obstet Gynecol. 2016;214:613.e1-7.","DOI":"10.1016\/j.ajog.2015.11.038"},{"key":"ref18","doi-asserted-by":"publisher","unstructured":"Smith FJ, Holman CDAJ, Moorin RE et al. Lifetime risk of undergoing surgery for pelvic organ prolapse. Obstet Gynecol. 2010;116:1096-100.","DOI":"10.1097\/aog.0b013e3181f73729"},{"key":"ref19","doi-asserted-by":"publisher","unstructured":"Wahed S, Ahmad M, Mohiuddin K et al. Short-term results for laparoscopic ventral rectopexy using biological mesh for pelvic organ prolapse. Colorectal Dis. 2012;14:1242-7.","DOI":"10.1111\/j.1463-1318.2011.02921.x"},{"key":"ref20","doi-asserted-by":"publisher","unstructured":"Wei AM, Fan Y, Zhang L et al. Evaluation of Clinical Outcome and Risk Factors for Recurrence after Pelvic Reconstruction of Pelvic Organ Prolapse with Implanted Mesh or Biological Grafts: A Single-Blind Randomized Trial. Gynecol Obstet Invest. 2019;84:503-11.","DOI":"10.1159\/000500674"},{"key":"ref21","doi-asserted-by":"publisher","unstructured":"Wu JM, Matthews CA, Conover MM et al. Lifetime risk of stress urinary incontinence or pelvic organ prolapse surgery. Obstet Gynecol. 2014;123:1201-6.","DOI":"10.1097\/aog.0000000000000286"},{"key":"ref22","doi-asserted-by":"publisher","unstructured":"Yagi Y, Tsunoda A, Takahashi T et al. Rectoanal intussusception is very common in patients with fecal incontinence. J Anus Rectum Colon. 2018;2:162-7.","DOI":"10.23922\/jarc.2017-048"}],"container-title":["Facts, Views and Vision in ObGyn"],"original-title":[],"language":"en","deposited":{"date-parts":[[2025,2,14]],"date-time":"2025-02-14T05:56:11Z","timestamp":1739512571000},"score":1,"resource":{"primary":{"URL":"https:\/\/fvvo.eu\/articles\/doi\/FVVO.16.2.017"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6]]},"references-count":23,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2024,5]]},"published-print":{"date-parts":[[2024,6]]}},"URL":"https:\/\/doi.org\/10.52054\/fvvo.16.2.017","relation":{},"ISSN":["2684-4230","2032-0418"],"issn-type":[{"value":"2684-4230","type":"electronic"},{"value":"2032-0418","type":"print"}],"subject":[],"published":{"date-parts":[[2024,6]]}}}