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Erschienen in: Gynecological Surgery 1/2017

Open Access 01.12.2017 | Original Article

Laparoscopic uterovaginal prolapse surgery in the elderly: feasibility and outcomes

verfasst von: Samuel W. King, Helen Jefferis, Simon Jackson, Alexander G. Marfin, Natalia Price

Erschienen in: Gynecological Surgery | Ausgabe 1/2017

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Abstract

Background

Uterovaginal prolapse in very elderly women is a growing problem due to increased life expectancy. Surgeons and anaesthetists may be wary of performing quality of life surgery on this higher risk group. Where surgery is undertaken, it is commonly performed vaginally; there is a perception that this is better tolerated than abdominal surgery.
Little data is published about laparoscopic prolapse surgery tolerability in this population, and laparoscopic surgery is perceived within the urogynaecological community as complex and lengthy and hence inherently unsuitable for the very elderly.
In Oxford, UK, laparoscopic abdominal surgical techniques are routinely employed for urogynaecological reconstructive surgery. The authors offer abdominal laparoscopic prolapse surgery to patients suitable for general anaesthesia with apical vaginal prolapse, irrespective of age. We here report outcomes in this elderly patient cohort and hypothesise these to be acceptable.
This is a retrospective case note review of all patients aged 79 years old and above undergoing laparoscopic prolapse surgery (hysteropexy or sacrocolpopexy) in two centres in Oxford, UK, over a 5-year period (n = 55). Data were collected on length of surgery, length of stay, intraoperative complications, early and late post-operative complications and surgical outcome.

Results

Mean age was 82.6 years (range 79–96). There were no deaths. Minor post-operative complications such as UTI and constipation were frequent, but there were no serious (Clavien-Dindo grade III or above) complications; 80% achieved objective good anatomical outcome.

Conclusions

Laparoscopic prolapse surgery appears well tolerated in the elderly with low operative morbidity and mortality.
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Metadaten
Titel
Laparoscopic uterovaginal prolapse surgery in the elderly: feasibility and outcomes
verfasst von
Samuel W. King
Helen Jefferis
Simon Jackson
Alexander G. Marfin
Natalia Price
Publikationsdatum
01.12.2017
Verlag
Springer Berlin Heidelberg
Erschienen in
Gynecological Surgery / Ausgabe 1/2017
Print ISSN: 1613-2076
Elektronische ISSN: 1613-2084
DOI
https://doi.org/10.1186/s10397-017-1000-x

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