Long-term results and functional outcome after ripstein rectopexy

Schultz, Inkeri; Mellgren, Anders; Dolk, Anders; Johansson, Claes; Holmström, Bo

doi:10.1007/bf02237241

Cited by 88 publications

(59 citation statements)

References 34 publications

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“…Several authors have reported a low recurrence rate of 6-9% with a 12% morbidity utilizing the Frykman-Goldberg abdominal approach [1,4,13,15,16]. Other surgeons favor rectopexy using foreign synthetic materials such as the polyvinyl alcohol sponge (Ivalon's procedure), marlex mesh (Ripstein's) [17] and triangular mesh (Well's) with good results with a recurrence rate fluctuating between 0% and 11% [1,9]. These procedures always carry several potential risks such as postoperative constipation and incontinence, hemorrhage from the sacral plexus and septic complications related to the foreign material as high as 20-40% of patients [2,3,13,16,17].…”

Section: Discussionmentioning

confidence: 97%

Helicoidal suture: alternative treatment for complete rectal prolapse in high-risk patients

Sáenz

Hernández-Magro

Fernández

2003

International Journal of Colorectal Disease

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Section: Discussionmentioning

confidence: 97%

Helicoidal suture: alternative treatment for complete rectal prolapse in high-risk patients

Sáenz

Hernández-Magro

Fernández

2003

International Journal of Colorectal Disease

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“…Posterior mesh rectopexy could be connected with a higher rate of overall morbidity [1,2,[15][16][17][18]. Therefore, in our centre, we have chosen suture rectopexy than mesh rectopexy mainly to reduce the risk of postoperative complications.…”

Section: Discussionmentioning

confidence: 99%

“…Rectal prolapse is defined as a complete prolapse of all layers of the rectum and is usually associated with a deep rectovaginal fossa, loose attachment of the rectum to the sacrum, and lax lateral ligaments [1]. The entity seems to be quite common and however many kinds of treatment have been described, there is still no consensus about the operation of choice [2].…”

Section: Introductionmentioning

confidence: 99%

Rectal Prolapse in Women—Outcomes of Perineal and Abdominal Approaches

et al. 2014

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The aim of the study was to assess the clinical and functional results of surgical treatment of female patients with rectal prolapse. In the period of 2003-2010, the group of 86 female patients (mean age of 67±10) underwent surgery due to rectal prolapse. The group of 24 patients (27.9 %) suffered from mild anal incontinence. They were operated on with open sutured rectopexy (18 pts), Altemeier (45 pts) and Delorme procedure (23 pts). Prior to surgery and after operation, clinical and function results were obtained. The follow-up period amounted to 32±11 months. In perineal approaches, we found mortality in one patient (1.4 %, Delorme) and anastomotic leak in four patients (5.9 %). The recurrence rate in the perineal group was 11.8 % (eight patients). We noted one recurrence in the rectopexy group (5.6 %). The Altemeier procedure revealed the most significant impact on the function of the anal sphincter muscles and resting pressures (42±7 vs 53±9 cm H 2 O; p=0.0082). If anterior levatoroplasty was added, the benefits referred also to squeeze pressures (41±8 vs 58±9 cm H 2 O; p=0.006 and 42±10 vs 56±9 cm H 2 O; p= 0.01). In the treatment of rectal prolapse, there is still no consensus about the operation of choice. Selection of the appropriate method should be based on clinical findings and patients' comorbidities to obtain maximal benefits and minimize the postoperative risk and failures.

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“…Q. E. J. Eijsbouts [19] reported improved continence in 76.19 % of 21 patients having preoperative incontinence in their series of 28 cases. Launer et al in 1982 [20] (retrospective study with 54 patients) and Schultz et al in 2000 [21] (prospective study with 69 patients in 2000) with the Ripstein procedure both determined a 10 % worsening of the preoperative incontinence after rectopexy. However, we were fortunate not to have any worsening of continence.…”

Section: Incontinencementioning

confidence: 99%

Perineal Stapled Prolapse Resection

Bajaj¹,

Wani²,

Sheikh³

et al. 2014

Indian J Surg

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Perineal stapled prolapse resection is a new technique for external rectal prolapse introduced in 2007. We have done stapled perineal resection for 12 patients with full thickness rectal prolapse between January 2010 and April 2012. Elderly patients with comorbidities and young patients who want to avoid risk of nerve damage, with rectal prolapse up to 8-10 cms were included prospectively for perineal stapled rectal prolapse resection. Functional outcome, complications, operating time, and hospital stay were assessed in all patients. Perineal stapled prolapse resection was performed without major complications in a median operating time of 45 (range, 40-90)min and median Hospital stay was 3 days (3 to 11 days). Preoperative severe fecal incontinence and constipation improved postoperatively in 90 and 66 % of the patients, respectively, and there was no incidence of de novo onset or worsening of constipation in any of the patient. One patient developed small extra peritoneal collection which was managed by conservative treatment. No other complications occurred. At median follow-up of 36 months, all patients were well and showed no early recurrence of prolapse.Perineal stapled rectal prolapse resection is a new surgical procedure for external rectal prolapse, which is safe, easy, and quick to perform.

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Long-term results and functional outcome after ripstein rectopexy

Cited by 88 publications

References 34 publications

Helicoidal suture: alternative treatment for complete rectal prolapse in high-risk patients

Helicoidal suture: alternative treatment for complete rectal prolapse in high-risk patients

Rectal Prolapse in Women—Outcomes of Perineal and Abdominal Approaches

Perineal Stapled Prolapse Resection

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