title: Laparoscopic rectopexy is feasible and safe in the emergency admission setting.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  A retrospective analysis was performed of a prospective database of all rectopexies performed from 2006. Outcome and follow-up data were assessed.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Colorectal and Pelvic Floor Surgery, Oxford University Hospitals NHS Trust, Oxford, UK.
authors.forename: A L A
authors.initials: AL
authors.lastname: Bloemendaal
authors.affiliation: Department of Colorectal and Pelvic Floor Surgery, Oxford University Hospitals NHS Trust, Oxford, UK.
authors.forename: A
authors.initials: A
authors.lastname: Mishra
authors.affiliation: Department of Colorectal and Pelvic Floor Surgery, Oxford University Hospitals NHS Trust, Oxford, UK.
authors.forename: G A
authors.initials: GA
authors.lastname: Nicholson
authors.affiliation: Department of Colorectal and Pelvic Floor Surgery, Oxford University Hospitals NHS Trust, Oxford, UK.
authors.forename: O M
authors.initials: OM
authors.lastname: Jones
authors.affiliation: Department of Colorectal and Pelvic Floor Surgery, Oxford University Hospitals NHS Trust, Oxford, UK.
authors.forename: I
authors.initials: I
authors.lastname: Lindsey
authors.affiliation: Department of Colorectal and Pelvic Floor Surgery, Oxford University Hospitals NHS Trust, Oxford, UK.
authors.forename: R
authors.initials: R
authors.lastname: Hompes
authors.affiliation: Department of Colorectal and Pelvic Floor Surgery, Oxford University Hospitals NHS Trust, Oxford, UK.
authors.forename: C
authors.initials: C
authors.lastname: Cunningham
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D004636:Emergency Service, Hospital; D004638:Emergency Treatment; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay / Q000639:trends; D008297:Male; D008875:Middle Aged; D010343:Patient Admission / Q000706:statistics & numerical data; D061214:Patient Safety; D011183:Postoperative Complications / Q000401:mortality / Q000503:physiopathology; D011379:Prognosis; D012005:Rectal Prolapse / Q000175:diagnosis / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D012189:Retrospective Studies; D012737:Sex Factors; D013526:Surgical Mesh; D015996:Survival Rate; D016896:Treatment Outcome
keywords: Laparoscopic ventral mesh rectopexy; emergency admission; rectal prolapse