Ripstein procedure is an effective treatment for rectal prolapse without constipation.

摘要: The operation of choice for complete rectal prolapse is controversial. We reviewed 169 patients undergoing 185 surgical procedures over a 27-year period. most common procedure employed was the Ripstein (n=142) and focus this report. Other used included resection rectopexy (n=18), anterior (n=7), Altemeier's (n=9), Delorme's (n=2), anal encirclement (n=7). median age 59 years (range, 12–94 years), female-to-male ratio 5∶1. incidence fecal incontinence, solitary ulcer syndrome, prior surgery elsewhere 40 percent, 12 19 respectively. Operative mortality 0.6 percent; morbidity 16 percent. Median follow-up 4.2 1–15 years). Complete recurrence after 8 one-third these recurred 3 to 14 surgery. Fecal incontinence improved or in about half patients. Persistence constipation more than (57 percent vs. 17 percent;P=0.03, chi-squared). Fifteen developed first time procedure. About one three patients, irrespective procedures, remained dissatisfied with final outcome despite anatomic correction prolapse. has proven be safe good repair may improve continence. In presence constipation, other preferable.