Table 10 |
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|
Surgical procedures used to treat levator plate sagging |
||||
|
Post-anal repair (Parks [6]) |
Retro-rectal levatorplasty |
Levatorplasty (Shafik [15]) |
Retro-anal levator plate myorrhaphy |
|
|
|
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|
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 |
|
|
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|
Beco BMC Surgery 2008 8:13 doi:10.1186/1471-2482-8-13 |
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