Dear Editor, I read with interest the recently published study comparing laparoscopic suture rectopexy and laparoscopic ventral mesh rectopexy (LVMR).1 The study provides valuable prospective data and highlights key differences in postoperative bowel function, recurrence trends, and functional outcomes. While LVMR demonstrated a statistically significant improvement in Wexner constipation scores, the high incidence of redundant sigmoid colon in the cohort may have influenced functional improvement. Subgroup analysis could further clarify these effects. Recurrence rates, although numerically lower for LVMR, did not reach statistical significance, likely due to the small sample size and follow-up duration. Larger studies with long-term follow-up remain essential to determine durability. The findings support individualized surgical decision-making, balancing the benefits of LVMR with considerations regarding cost, operative time, and mesh-related risks.2 Author contributions SV conceived and wrote the manuscript and approved the final version. Data availability statement Not applicable. No new data were generated or analysed for this commentary. Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest.
Shashikanth Vijayaraghavalu (Thu,) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: