J Minim Invasive Surg.  2019 Dec;22(4):135-136. 10.7602/jmis.2019.22.4.135.

Changing Trend of Rectal Prolapse Surgery in the Era of the Minimally Invasive Surgery

• Lee SH

• KMID: 2469493
• DOI: http://doi.org/10.7602/jmis.2019.22.4.135

Abstract

With the life span of the general population increased, rectal prolapse in elderly patients became a major concern in terms of the decision of the treatment modalities and quality of life of patients. Most elderly patients with rectal prolapse in the past received a perineal approach with the fear of general anesthetic complications rather than the abdominal approach. However, improvement in perioperative care in anesthesiology and minimally invasive surgery, the trend of surgical management of rectal prolapse is rapidly changing. Minimally invasive surgery including the laparoscopic and robotic surgeries showed comparable short-term outcomes even in elderly patients. Recently published guidelines also recommended a laparoscopic abdominal approach for the management of rectal prolapse.

Keyword

Rectal prolapse; Laparoscopy; Surgery

MeSH Terms

Aged
Anesthesiology
Humans
Laparoscopy
Minimally Invasive Surgical Procedures*
Perioperative Care
Quality of Life
Rectal Prolapse*