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Related Experiment Videos

Ripstein procedure. Lahey Clinic experience: 1963-1985.

P L Roberts1, D J Schoetz, J A Coller

  • 1Department of Colon and Rectal Surgery, Lahey Clinic Medical Center, Burlington, MA 01805.

Archives of Surgery (Chicago, Ill. : 1960)
|May 1, 1988
PubMed
Summary
This summary is machine-generated.

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The Ripstein procedure for rectal prolapse has a low perioperative death rate but carries risks of bleeding and recurrent prolapse. Technical precision is crucial, and anterior resection may be better for men due to high recurrence rates with the Ripstein procedure.

Area of Science:

  • Colorectal surgery
  • Surgical outcomes
  • Rectal prolapse treatment

Background:

  • Rectal prolapse is a significant condition requiring surgical intervention.
  • The Ripstein procedure is one surgical option for treating rectal prolapse.

Purpose of the Study:

  • To evaluate the long-term outcomes and complications of the Ripstein procedure.
  • To identify factors influencing recurrence and complications.

Main Methods:

  • Retrospective review of 135 Ripstein procedures performed over 22 years.
  • Analysis of patient demographics, operative details, complications, and follow-up data.

Main Results:

  • One perioperative death (0.7%) and significant complication rates including hemorrhage (8.1%) and recurrent prolapse (9.6%).

Related Experiment Videos

  • Recurrent prolapse was linked to specific intraoperative technical factors in a subset of patients.
  • Men experienced a high rate of recurrent prolapse, suggesting the Ripstein procedure may be less suitable for this demographic.
  • Conclusions:

    • The Ripstein procedure can be effective but requires meticulous attention to technical details to minimize complications.
    • Anterior resection may be a preferable alternative for male patients due to higher recurrence rates with the Ripstein procedure.
    • Surgeons should consider alternative procedures like anterior resection, especially in male patients, and prepare for potential conversion during exploration.