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Related Concept Videos

Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Related Experiment Video

Updated: Jun 18, 2026

Transvaginal Mesh Insertion in the Ovine Model
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Ventral mesh rectopexy: Variations in technique and care process. A multicentre study.

Ellen Coeckelberghs1, Ahmed M Chaoui2, Mohamed Abasbassi3

  • 1Leuven Institute for Healthcare Policy, KU Leuven-University of Leuven, Leuven, Belgium.

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
|April 8, 2025
PubMed
Summary

This study found significant variation in ventral mesh rectopexy (VMR) care across Flemish hospitals, highlighting a need for standardization. Improving VMR practices through evidence-based guidelines can enhance patient outcomes.

Keywords:
colorectal surgeryquality of careventral mesh rectopexy

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Area of Science:

  • Colorectal Surgery
  • Surgical Quality Improvement
  • Health Services Research

Background:

  • Ventral mesh rectopexy (VMR) is a surgical procedure for rectal prolapse and related conditions.
  • There is a recognized need to assess and improve the quality of care in VMR procedures.
  • Understanding variations in current practice is crucial for developing standardized protocols.

Purpose of the Study:

  • To investigate variations in preoperative assessment, surgical indications, perioperative management, and surgical techniques for VMR within and between Flemish hospitals.
  • To identify areas of inconsistency in VMR care delivery.
  • To establish a baseline for quality improvement initiatives in VMR.

Main Methods:

  • An observational, cross-sectional, multicentre study involving 14 Flemish hospitals.
  • Inclusion of 20 consecutive patients per hospital who underwent primary VMR in 2022.
  • Assessment of quality of care using predefined, disease-specific quality indicators (QIs) via structured questionnaires and electronic patient file data.

Main Results:

  • A total of 280 female patients (mean age 62 years) were analyzed.
  • Significant intra- and interhospital variations were observed in all aspects of VMR care, from preoperative work-up to postoperative management.
  • While all procedures were minimally invasive (robotic or laparoscopic), practices varied in bowel preparation, mesh type (predominantly lightweight polypropylene), mesh fixation, and length of hospital stay (mean 2.1 days).

Conclusions:

  • Significant variation exists in the perioperative management and surgical techniques for VMR among Flemish hospitals, indicating a lack of standardization and ongoing controversies.
  • This collaborative initiative can serve as a feedback tool to define minimum quality indicators and outcome reporting parameters.
  • Building consensus and adhering to evidence-based guidelines are essential to reduce practice variations and improve patient outcomes in VMR.