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. 2024 Apr 13;28(1):46.
doi: 10.1007/s10151-024-02920-8.

Laparoscopic ventral mesh rectopexy in the oldest old is safe: the race is run

E Ergüder  1   2 , C Verkade  1 , D K Wasowicz  1 , B S Langenhoff  1 , S Altiner  2 , D D E Zimmerman  3
Affiliations

Laparoscopic ventral mesh rectopexy in the oldest old is safe: the race is run

E Ergüder et al. Tech Coloproctol. .

Abstract

Background: Laparoscopic ventral mesh rectopexy (LVMR) is considered to be the gold standard for managing rectal prolapse. Nevertheless, concerns have been expressed about the use of this procedure in elderly patients. The aim of the current study was to examine the perioperative safety of primary LVMR operations in the oldest old in comparison to younger individuals and to assess our hospital policy of offering LVMR to all patients, regardless of age and morbidity.

Methods: A retrospective study analysed demographic information, operation notes, meshes utilised, operation times, lengths of hospital stay (LOS) and American Society of Anesthesiologists (ASA) scores of patients who underwent LVMR at Elisabeth-TweeSteden Hospital between 2012 and 2023.

Results: Eighty-seven female patients underwent LVMR. Nineteen patients were 80 years of age or older (OLD group); the remaining 65 patients were under the age of 80 (YOUNG group). The difference between the groups in terms of age was statistically significant. ASA scores were not significantly different. No mortality was observed. There was no statistically significant difference between the groups in terms of LOS, operation time or morbidity. Moreover, the postoperative morbidity profile was excellent in both groups.

Conclusion: LVMR seems to be a safe operation for the "oldest old" patients with comorbidity, despite a single-centre, retrospective trial with limited follow-up. The present study suggests abandoning the dogma that "frail patients with rectal prolapse are not suitable for laparoscopic ventral mesh rectopexy."

Keywords: Laparoscopic ventral mesh rectopexy; Oldest old; Rectal prolapse; Safety.

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References

    1. D’Hoore A, Penninckx F (2006) Laparoscopic ventral recto (colpo) pexy for rectal prolapse: surgical technique and outcome for 109 patients. Surg Endosc 20:1919–1923. https://doi.org/10.1007/s00464-005-0485-y - DOI - PubMed
    1. Boons P, Collinson R, Cunningham C, Lindsey I (2010) Laparoscopic ventral rectopexy for external rectal prolapse improves constipation and avoids de novo constipation. Colorectal Dis 12(6):526–532. https://doi.org/10.1111/j.1463-1318.2009.01859.x - DOI - PubMed
    1. Carpelan-Holmström M, Kruuna O, Scheinin T (2006) Laparoscopic rectal prolapse surgery combined with short hospital stay is safe in elderly and debilitated patients. Surg Endosc 20:1353–1359. https://doi.org/10.1007/s00464-005-0217-3 - DOI - PubMed
    1. Solomon MJ, Young CJ, Eyers AA, Roberts RA (2002) Randomised clinical trial of laparoscopic versus open abdominal rectopexy for rectal prolapse. Wiley Online Library, Hoboken
    1. Randall J, Smyth E, McCarthy K, Dixon AR (2014) Outcome of laparoscopic ventral mesh rectopexy for external rectal prolapse. Colorectal Dis 16(11):914–919. https://doi.org/10.1111/codi.12741 - DOI - PubMed

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