Holmström B, Brodén G, Dolk A
Dis Colon Rectum. 1986 Dec;29(12):845-8. doi: 10.1007/BF02555360.
Over 15 years 108 patients with either rectal prolapse or internal rectal procidentia were treated by the Ripstein operation. Postoperative evaluation was possible in 97 patients (mean observation time, 6.9 years). The mortality rate was 2.8 percent, and surgical complications occurred in an additional 3.7 percent. The recurrence rate was 4.1 percent. Preoperative and postoperative functional analysis was possible in 92 patients. The proportion of continent patients increased from 33 percent preoperatively to 72 percent postoperatively. Defecation difficulties increased from 27 percent to 43 percent following surgery, and were a major cause of dissatisfaction.
在15年多的时间里，108例直肠脱垂或直肠内脱垂患者接受了里普斯坦手术治疗。97例患者可进行术后评估（平均观察时间为6.9年）。死亡率为2.8%，另有3.7%发生手术并发症。复发率为4.1%。92例患者可进行术前和术后功能分析。控便患者的比例从术前的33%增至术后的72%。排便困难从术后的27%增至43%，是导致患者不满的主要原因。
