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Related Experiment Videos

Rectal prolapse.

D Failes, M Killingback, M Stuart

    The Australian and New Zealand Journal of Surgery
    |February 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

    The Ripstein repair effectively treats complete rectal prolapse in 94% of patients. This surgical approach is recommended for prolapse cure, often improving associated incontinence.

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    Area of Science:

    • Colorectal Surgery
    • Gastroenterology

    Background:

    • Complete rectal prolapse is a condition affecting more females than males, typically at an older age.
    • Occult prolapse requires recognition, particularly when associated with rectal ulcers, proctitis, or colitis cystica profunda.
    • Incontinence is a common comorbidity in patients with rectal prolapse.

    Purpose of the Study:

    • To evaluate the efficacy of the Ripstein repair for complete rectal prolapse.
    • To assess the impact of the Ripstein repair on associated incontinence.

    Main Methods:

    • Retrospective review of 127 patients with complete rectal prolapse.
    • Analysis of outcomes following Ripstein repair surgery.
    • Minimum two-year follow-up for 53 patients who underwent the Ripstein repair.

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    Main Results:

    • The Ripstein repair achieved a cure rate of 94% (50 out of 53 patients) with a minimum two-year follow-up.
    • While prolapse control often improved continence, 13% of patients remained incontinent post-surgery.
    • The study identified a higher incidence in females and at an older age.

    Conclusions:

    • The Ripstein repair is a highly effective surgical option for the cure of complete rectal prolapse.
    • The procedure demonstrates significant success in resolving prolapse and often improving, though not always eliminating, incontinence.