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Figure 4 | BMC Surgery

Figure 4

From: Interest of retro-anal levator plate myorrhaphy in selected cases of descending perineum syndrome with positive anti-sagging test

Figure 4

Retro-anal levator plate myorrhaphy: surgical steps. A: Skin incision. B: Scissors introduced between levator plate and ano-coccygeal ligament (also called intermediate loop of the external anal sphincter). C: The ano-coccygeal ligament ready to be cut (two extremities marked with a thread). D: Levator plate myorrhaphy between coccyx and ano-rectal junction until suppression of the sagging (checked by rectal examination). E: Ano-coccygeal ligament repaired. F: Skin closure with a Y-shaped multi-tubular drain at the posterior edge of the incision.

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BMC Surgery

ISSN: 1471-2482

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