Ripstein Operation for Rectal Prolapse


The Ripstein operation uses permanent polypropylene mesh to fix the rectum to the presacral fascia, thereby restoring the normal posterior curve of the rectum and eliminating intussusception and prolapse. This operation is indicated only in patients who are not also suffering from significant constipation. Constipated patients do better with resection of the redundant sigmoid colon and colorectal anastomosis with sutures attaching the lateral ligaments of the rectum to the sacral fascia. For extremely poor-risk patients with rectal prolapse, a Thiersch operation (see Chapter 26) or perineal resection (see References) may be performed.


Rectal Prolapse Rectus Muscle Rectus Sheath Constipate Patient Anterior Rectus Sheath 
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