Laparoscopic rectal prolapse surgery combined with short hospital stay is safe in elderly and debilitated patients

Abstract

Both rectopexy and resection rectopexy cure prolapse with good results and can be performed safely in older and debilitated patients. The laparoscopic approach enables a shortened hospital stay and is well tolerated in elderly patients.

Laparoscopic ventral rectopexy in an elderly population with external rectal prolapse: clinical and anal manometric results

“…The 30-day morbidity rate of 15 % is comparable to that of other studies with respect of the frequency but also types of complications [4]. Both higher and lower morbidity rates have been reported [5,14,15].…”

“…Previous studies report an even lower mortality rate, but the patients were significantly younger than those in our study, with median ages of 50-70 years [3,4]. It underlines that varying patient demographics make morbidity and mortality comparisons difficult and questionable.…”

“…A few previous studies report that the laparoscopic procedure is effective and safe to perform on elderly debilitated patients [4,5], but often the study populations have mean ages close to 60-70 years [6][7][8], which in this setting may be considered young.…”

Day case laparoscopic rectopexy is feasible, safe, and cost effective for selected patients

“…However, the median or mean hospital stay after laparoscopic rectopexy in the literature is not less than 3 days [13,15,18,[20][21][22]. This is the first report of DCLR.…”

“…In addition, age alone is not a contradiction for this procedure, with good results and early recovery being seen even among the elderly [17][18][19].…”