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Related Experiment Videos

Transabdominal proctopexy (Ripstein procedure) for massive rectal prolapse

R L Bomar, J L Sawyers

    The American Surgeon
    |February 1, 1977
    PubMed
    Summary
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    The Ripstein procedure, a transabdominal proctopexy, effectively treats massive rectal prolapse. This safe and simple surgery has shown no recurrence or mortality in 36 patients.

    Area of Science:

    • Colorectal Surgery
    • Surgical Innovation

    Background:

    • Massive rectal prolapse (procidentia) presents a complex surgical challenge.
    • Traditional management methods can be complicated and associated with recurrence.

    Purpose of the Study:

    • To evaluate the efficacy and safety of the transabdominal proctopexy (Ripstein procedure) for massive rectal prolapse.

    Main Methods:

    • The Ripstein procedure involves securing the rectum to the sacrum using a Teflon sling.
    • This technique aims to restore the rectum's natural posterior curve and prevent intussusception.

    Main Results:

    • No recurrence of rectal prolapse was observed in 36 treated patients.
    • The study reported no mortality associated with the procedure.

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  • Half of the patients were followed for 5 to 10 years, demonstrating long-term effectiveness.

    • Conclusions:

    • Transabdominal proctopexy (Ripstein procedure) is a simple, safe, and effective surgical option for massive rectal prolapse.
    • The technique successfully restores rectal anatomy and prevents prolapse recurrence.