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Ripstein Procedure: Lahey Clinic Experience: 1963-1985

Ripstein Procedure: Lahey Clinic Experience: 1963-1985 Abstract • We reviewed our 22-year experience with 135 Ripstein procedures for rectal prolapse in 118 women and 17 men. Follow-up ranged from one to 256 months (median, 41 months). Five patients were unavailable for follow-up. There was one perioperative death (0.7%). Complications included hemorrhage from presacral veins in 11 patients (8.1%), recurrent prolapse in 13 patients (9.6%), and stricture at the site of the sling in three patients (2.2%). Specific intraoperative technical factors could be related to recurrent prolapse in four patients (30.8%). Attention to technical details is mandatory to minimize immediate and long-term complications. Patients should be prepared for anterior resection, since a sling procedure may be inadvisable at the time of exploration. Resection may be the preferred operation for men, who have a high rate of recurrent prolapse with the Ripstein procedure. (Arch Surg 1988;123:554-557) References 1. Ripstein CB, Lanter B: Etiology and surgical therapy of massive prolapse of the rectum . Ann Surg 1963;157:259-264.Crossref 2. Jurgeleit HC, Corman ML, Coller JA, et al: Procidentia of the rectum: Teflon sling repair of rectal prolapse, Lahey Clinic experience . Dis Colon Rectum 1975;18:464-467.Crossref 3. Lescher TJ, Corman ML, Coller JA, et al: Management of late complications of Teflon sling repair for rectal prolapse . Dis Colon Rectum 1979;22:445-447.Crossref 4. Condon RE, Nichols RL: The present position of the neomycin-erythromycin bowel prep . Surg Clin North Am 1975;55:1331-1334. 5. Veidenheimer MC: Rectal prolapse . Surg Clin North Am 1980;60:451-455. 6. Eisenstat TE, Rubin RJ, Salvati EP: Surgical treatment of complete rectal prolapse . Dis Colon Rectum 1979;22:522-523.Crossref 7. Gordon PH, Hoexter B: Complications of the Ripstein procedure . Dis Colon Rectum 1978;21:277-280.Crossref 8. Launer DP, Fazio VW, Weakley FL, et al: The Ripstein procedure: A 16-year experience . Dis Colon Rectum 1982;25:41-45.Crossref 9. Morgan B: Procidentia of the rectum: The Ripstein operation . Dis Colon Rectum 1975;18:468-469.Crossref 10. McMahan JD, Ripstein CB: Rectal prolapse: An update on the rectal sling procedure . Am Surg 1987;53:37-40. 11. Qinyao W, Weijin S, Youren Z, et al: New concepts in severe presacral hemorrhage during proctectomy . Arch Surg 1985;120:1013-1020.Crossref 12. Nivatvongs S, Fang DT: The use of thumbtacks to stop massive presacral hemorrhage . Dis Colon Rectum 1986;29:589-590.Crossref 13. Matsumoto H, Hasegawa T, Fuse K, et al: A new vascular prosthesis for a small caliber artery . Surgery 1973;74:519-523. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Ripstein Procedure: Lahey Clinic Experience: 1963-1985

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References (13)

Publisher
American Medical Association
Copyright
Copyright © 1988 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1988.01400290036005
Publisher site
See Article on Publisher Site

Abstract

Abstract • We reviewed our 22-year experience with 135 Ripstein procedures for rectal prolapse in 118 women and 17 men. Follow-up ranged from one to 256 months (median, 41 months). Five patients were unavailable for follow-up. There was one perioperative death (0.7%). Complications included hemorrhage from presacral veins in 11 patients (8.1%), recurrent prolapse in 13 patients (9.6%), and stricture at the site of the sling in three patients (2.2%). Specific intraoperative technical factors could be related to recurrent prolapse in four patients (30.8%). Attention to technical details is mandatory to minimize immediate and long-term complications. Patients should be prepared for anterior resection, since a sling procedure may be inadvisable at the time of exploration. Resection may be the preferred operation for men, who have a high rate of recurrent prolapse with the Ripstein procedure. (Arch Surg 1988;123:554-557) References 1. Ripstein CB, Lanter B: Etiology and surgical therapy of massive prolapse of the rectum . Ann Surg 1963;157:259-264.Crossref 2. Jurgeleit HC, Corman ML, Coller JA, et al: Procidentia of the rectum: Teflon sling repair of rectal prolapse, Lahey Clinic experience . Dis Colon Rectum 1975;18:464-467.Crossref 3. Lescher TJ, Corman ML, Coller JA, et al: Management of late complications of Teflon sling repair for rectal prolapse . Dis Colon Rectum 1979;22:445-447.Crossref 4. Condon RE, Nichols RL: The present position of the neomycin-erythromycin bowel prep . Surg Clin North Am 1975;55:1331-1334. 5. Veidenheimer MC: Rectal prolapse . Surg Clin North Am 1980;60:451-455. 6. Eisenstat TE, Rubin RJ, Salvati EP: Surgical treatment of complete rectal prolapse . Dis Colon Rectum 1979;22:522-523.Crossref 7. Gordon PH, Hoexter B: Complications of the Ripstein procedure . Dis Colon Rectum 1978;21:277-280.Crossref 8. Launer DP, Fazio VW, Weakley FL, et al: The Ripstein procedure: A 16-year experience . Dis Colon Rectum 1982;25:41-45.Crossref 9. Morgan B: Procidentia of the rectum: The Ripstein operation . Dis Colon Rectum 1975;18:468-469.Crossref 10. McMahan JD, Ripstein CB: Rectal prolapse: An update on the rectal sling procedure . Am Surg 1987;53:37-40. 11. Qinyao W, Weijin S, Youren Z, et al: New concepts in severe presacral hemorrhage during proctectomy . Arch Surg 1985;120:1013-1020.Crossref 12. Nivatvongs S, Fang DT: The use of thumbtacks to stop massive presacral hemorrhage . Dis Colon Rectum 1986;29:589-590.Crossref 13. Matsumoto H, Hasegawa T, Fuse K, et al: A new vascular prosthesis for a small caliber artery . Surgery 1973;74:519-523.

Journal

Archives of Surgery – American Medical Association

Published: May 1, 1988

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