Laparoscopic rectopexy is feasible and safe in the emergency admission setting. (October 2015)

• Record Type: Journal Article
• Authors: Bloemendaal, A. L. A.; Mishra, A.; Nicholson, G. A.; Jones, O. M.; Lindsey, I.; Hompes, R.; Cunningham, C.
• Is Part Of: Colorectal disease. Volume 17:Number 10(2015)
• Page Start: O198
• Page End: O201
• Publication Date: 2015-10
• Subjects: Colon (Anatomy) -- Diseases -- Periodicals; Rectum -- Diseases -- Periodicals; 616.34
• DOI: 10.1111/codi.13015
• Languages: English
• ISSNs: 1462-8910

Abstract

<abstract abstract-type="main" id="codi13015-abs-0001"> <title>Abstract</title> <sec id="codi13015-sec-0001" sec-type="section"> <title>Aim</title> <p>External rectal prolapse may require emergency admission in the elderly and comorbid population. We report the safety and efficacy of laparoscopic ventral rectopexy in patients having an emergency admission with external rectal prolapse.</p> </sec> <sec id="codi13015-sec-0002" sec-type="section"> <title>Method</title> <p>A retrospective analysis was performed of a prospective database of all rectopexies performed from 2006. Outcome and follow‐up data were assessed.</p> </sec> <sec id="codi13015-sec-0003" sec-type="section"> <title>Results</title> <p>Of 812 rectopexies performed, 28 were included for analysis. The mean length of hospital stay was 13.0 days. All operations were completed successfully and without intra‐operative complications. Four patients developed a postoperative complication. Two patients developed a recurrence of prolapse.</p> </sec> <sec id="codi13015-sec-0004" sec-type="section"> <title>Conclusion</title> <p>Laparoscopic correction of rectal prolapse following emergency admission is both feasible and safe. It can be considered for both recurring cases and cases with multiple comorbidities.</p> </sec> </abstract>