The need for manual replacement of the rectum is common. Ripstein procedure: This procedure is done through an incision in the abdomen. Ripstein procedure is designed to maintain normal posterior rectal curvature by attaching it to the presacral fascia, thus avoiding the straight tube that Of the procedures, Ripstein procedure is increasingly employed among surgions, JB Jr: Repair of rectal prolapse: Experience with the Ripstein sling.The Ripstein (and related procedures) uses mobilization of the rectum and fixation into the hollow of the sacrum to treat full-thickness rectal prolapse.
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