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Enterocele is correctable using the Ripstein rectopexy

A Mellgren1, A Dolk, C Johansson

  • 1Department of Surgery, Karolinska Institute at Danderyd Hospital, Stockholm, Sweden.

Diseases of the Colon and Rectum
|August 1, 1994
PubMed
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The Ripstein procedure effectively corrects enterocele in patients with rectal prolapse or intussusception. This surgical approach improves continence, with most defecation difficulties unrelated to enterocele after treatment.

Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Pelvic Floor Disorders

Background:

  • Enterocele frequently co-occurs with rectal prolapse or intussusception, affecting approximately one-third of patients.
  • Defecography is a key diagnostic tool for identifying these pelvic floor abnormalities.

Purpose of the Study:

  • To assess the efficacy of the Ripstein procedure in treating concurrent enterocele.
  • To evaluate the impact of the Ripstein procedure on patient symptoms, including continence and defecation.

Main Methods:

  • The study included 22 patients diagnosed with enterocele and either rectal prolapse or rectal intussusception.
  • Treatment involved the Ripstein procedure, followed by clinical examination (22 patients) and defecography (16 patients) for postoperative assessment.

Related Experiment Videos

Main Results:

  • No recurrences of enterocele, rectal prolapse, or intussusception were observed post-surgery.
  • Significant improvement in continence was noted in 15 out of 16 incontinent patients.
  • While some patients experienced improved emptying, others reported no change or deterioration.

Conclusions:

  • The Ripstein rectopexy is an effective method for correcting enterocele.
  • Persistent defecation issues post-Ripstein procedure are unlikely to stem from residual enterocele.
  • The Ripstein procedure offers a viable treatment option for enterocele, particularly in patients with coexisting rectal prolapse or intussusception.