Levator ani transposition for anal incompetence secondary to sphincter damage

An operative procedure is described in which the levator ani muscles are used to correct anal incompetence secondary to sphincter damage. The relevant pelvic anatomy and operative procedure are described in detail. Four patients in whom sphincter damage occurred during surgery for posterior vulvar c...

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Bibliographic Details
Published inObstetrics and gynecology (New York. 1953) Vol. 59; no. 1; p. 108
Main Authors Berek, J S, Lagasse, L D, Hacker, N F, Leuchter, R S
Format Journal Article
LanguageEnglish
Published United States 01.01.1982
Subjects
Adult
Anal Canal - injuries
Anal Canal - surgery
Fecal Incontinence - etiology
Fecal Incontinence - surgery
Female
Humans
Intraoperative Complications
Methods
Middle Aged
Muscles - surgery
Rectum - surgery
Vulvar Neoplasms - surgery
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Summary:An operative procedure is described in which the levator ani muscles are used to correct anal incompetence secondary to sphincter damage. The relevant pelvic anatomy and operative procedure are described in detail. Four patients in whom sphincter damage occurred during surgery for posterior vulvar carcinoma underwent the procedure; in 3, good sphincter function was attained. Morbidity was minimal. The transposition of the levator ani muscle to replace partially obliterated anal sphincter muscles is a suitable procedure for patients who have insufficient sphincter tissue for simpler repairs.
ISSN:0029-7844
1873-233X