ORIGINAL CONTRIBUTION
Clinical Outcomes of Perineal Proctectomy Among Patients of Advanced Age Rangsima Tiengtianthum, M.D.1 • Christine C. Jensen, M.D., M.P.H.2 Stanley M. Goldberg, M.D., Hon. F.R.A.C.S. (Aust.), Hon. F.R.C.S. (Engl.), Hon. A.F.C. (Fr.), Hon. F.R.C.P.S. (Glasg.), Hon. F.R.S.M. (Engl.), Hon. F.P.C.S. (Phil.), Hon. F.R.C.S. (Edinb.), Honoris Causa (Leida), Hon. S.A.S. (Spain), Hon. J.S.S. (Japan)2 Anders Mellgren, M.D., Ph.D.3 1 University of Bangkok Metropolis, Bangkok, Thailand 2 Division of Colon and Rectal Surgery, University of Minnesota, Minneapolis, Minnesota 3 Division of Colon and Rectal Surgery, University of Illinois at Chicago, Chicago, Illinois
BACKGROUND: Rectal prolapse occurs primarily in
older patients who often have significant comorbidities. With the aging population, increasing numbers of elderly patients are presenting with rectal prolapse. The perineal approach is preferred for these patients because it involves less perioperative risk than an abdominal procedure, but the outcomes of this procedure in elderly patients are unknown. OBJECTIVE: The aim of this study was to examine whether clinical outcomes after perineal proctectomy are similar among elderly patients versus patients of younger age. DESIGN: This study was a retrospective review. SETTING: This study was conducted in mixed academic and private practice; the operations were performed at 16 hospitals. PATIENTS: Patients who had perineal proctectomy for rectal prolapse from 1994 to 2012 were grouped according to age:
Clinical Outcomes of Perineal Proctectomy Among Patients of Advanced Age Rangsima Tiengtianthum, M.D.1 • Christine C. Jensen, M.D., M.P.H.2 Stanley M. Goldberg, M.D., Hon. F.R.A.C.S. (Aust.), Hon. F.R.C.S. (Engl.), Hon. A.F.C. (Fr.), Hon. F.R.C.P.S. (Glasg.), Hon. F.R.S.M. (Engl.), Hon. F.P.C.S. (Phil.), Hon. F.R.C.S. (Edinb.), Honoris Causa (Leida), Hon. S.A.S. (Spain), Hon. J.S.S. (Japan)2 Anders Mellgren, M.D., Ph.D.3 1 University of Bangkok Metropolis, Bangkok, Thailand 2 Division of Colon and Rectal Surgery, University of Minnesota, Minneapolis, Minnesota 3 Division of Colon and Rectal Surgery, University of Illinois at Chicago, Chicago, Illinois
BACKGROUND: Rectal prolapse occurs primarily in
older patients who often have significant comorbidities. With the aging population, increasing numbers of elderly patients are presenting with rectal prolapse. The perineal approach is preferred for these patients because it involves less perioperative risk than an abdominal procedure, but the outcomes of this procedure in elderly patients are unknown. OBJECTIVE: The aim of this study was to examine whether clinical outcomes after perineal proctectomy are similar among elderly patients versus patients of younger age. DESIGN: This study was a retrospective review. SETTING: This study was conducted in mixed academic and private practice; the operations were performed at 16 hospitals. PATIENTS: Patients who had perineal proctectomy for rectal prolapse from 1994 to 2012 were grouped according to age:
