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The Ripstein procedure: a 16-year experience

D P Launer, V W Fazio, F L Weakley

    Diseases of the Colon and Rectum
    |January 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

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    The Ripstein procedure is a viable surgical option for rectal prolapse, offering patient satisfaction despite significant morbidity and long-term obstructive symptoms in some cases. This rectal prolapse treatment remains a top choice.

    Area of Science:

    • Gastroenterology and Colorectal Surgery

    Background:

    • The Ripstein procedure is a surgical technique utilized for treating rectal prolapse.
    • Understanding the long-term outcomes and patient characteristics associated with this procedure is crucial for surgical decision-making.

    Observation:

    • A retrospective analysis reviewed 54 patients who underwent 57 Ripstein procedures between 1963 and 1978.
    • Patient demographics, preoperative conditions, and postoperative results (early and late) were evaluated.
    • Prevalent patient profiles included middle-aged women with prior gynecologic/anorectal surgeries and bowel dysfunction.

    Findings:

    • The Ripstein procedure demonstrated zero operative mortality.
    • Significant operative morbidity was observed in 26% of patients.
    • Recurrent rectal prolapse occurred in 12.5% of patients, and 18% experienced significant long-term obstructive symptoms.

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    Implications:

    • Despite notable morbidity and potential long-term complications, the Ripstein procedure is considered the treatment of choice for rectal prolapse.
    • Further research may explore modifications to mitigate long-term obstructive symptoms and recurrence rates.