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Techniques in Coloproctology

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01-12-2024 | Rectopexy | Original Article

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

Authors: E. Ergüder, C. Verkade, D. K. Wasowicz, B. S. Langenhoff, S. Altiner, D. D. E. Zimmerman

Published in: Techniques in Coloproctology | Issue 1/2024

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.”

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Title: Laparoscopic ventral mesh rectopexy in the oldest old is safe: the race is run
Authors: E. Ergüder
C. Verkade
D. K. Wasowicz
B. S. Langenhoff
S. Altiner
D. D. E. Zimmerman
Publication date: 01-12-2024
Publisher: Springer International Publishing
Keywords: Rectopexy
Rectal Prolapse
Published in: Techniques in Coloproctology / Issue 1/2024
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI: https://doi.org/10.1007/s10151-024-02920-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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