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Related Experiment Videos

Rectal prolapse. An update on the rectal sling procedure.

J D McMahan, C B Ripstein

    The American Surgeon
    |January 1, 1987
    PubMed
    Summary

    This study introduces a modified rectal sling procedure using Gore-Tex for rectal prolapse repair. The technique successfully treated 23 patients with no recurrences and minimal complications.

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    A simple, effective operation for rectal prolapse.

    Postgraduate medicine·1969

    Area of Science:

    • Colorectal Surgery
    • Biomaterials in Medicine
    • Surgical Innovation

    Background:

    • Rectal prolapse repair has utilized rectal sling procedures for over 30 years.
    • Previous prosthetic slings faced challenges with excessive tissue reaction or inadequate tissue ingrowth.
    • Gore-Tex offers inert properties and a porous structure, promoting tissue incorporation.

    Purpose of the Study:

    • To present an improved rectal sling procedure for rectal prolapse repair.
    • To evaluate the efficacy and safety of using Gore-Tex in a modified Ripstein procedure.
    • To address limitations of previous prosthetic slings and surgical techniques.

    Main Methods:

    • Detailed description of the modified Ripstein procedure utilizing a Gore-Tex rectal sling.
    • Posterior placement of the sling to allow anterior rectal wall distension, preventing fecal impaction.
    • Surgical repair in a series of 23 patients with rectal prolapse.

    Main Results:

    • Successful rectal prolapse repair in all 23 patients.
    • No instances of recurrence were observed post-procedure.
    • Minimal postoperative morbidity was reported, with no cases of fecal impaction.

    Conclusions:

    • The modified rectal sling procedure using Gore-Tex is a safe and effective treatment for rectal prolapse.
    • Gore-Tex facilitates optimal tissue incorporation and reduces risks associated with previous prosthetic materials.
    • Posterior sling placement effectively mitigates the risk of postoperative fecal impaction.

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