Table 10

Surgical procedures used to treat levator plate sagging

Post-anal repair

(Parks [6])

Retro-rectal levatorplasty

(Nichols [14,16])

Levatorplasty

(Shafik [15])

Retro-anal levator plate myorrhaphy


Retro-anal incision

U-shaped

Midline

U-shaped

Midline

Dissection plane

Intersphincteric

Retro-anal

Retro-anal

Retro-anal

Opening of the pelvis

Incision of Waldeyer's fascia

Opening of the retro-rectal or pre-sacral space

No

No

Myorrhaphy

Levator plate, pubo-rectalis and external sphincter

Levator plate and pubo-rectalis

Levator plate

Levator plate

Rectal neck attached to the levator plate

No

No

Yes

No

Posterior wall of the rectum sewn to the presacral fascia

No

Yes

No

No


Beco BMC Surgery 2008 8:13   doi:10.1186/1471-2482-8-13

Open Data