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Figures in Case Report by Peter Petros(*) - Peter RIchardson(**)

(*) Royal Perth Hospital, University of Western Australia
(**) (**) Galliers Hospital, Armadale WA

Study No. 10: Fecal incontinence cure by surgical reinforcement of the pelvic ligaments suggests a connective tissue aetiology


(Fig. 1)

 

Perineal incision

Figure 1. — Surgery schematic 3D sagittal section. Implanted “tension- free” tapes ‘T’ create collagenous pubourethral neoligaments anteriorly and uterosacral ligaments posteriorly. V = vagina; LP = levator plate; L = longitudinal muscle of the anus; PB = perineal body; EAS = external anal sphincter; LP = levator plate; IS = ischial spine; O = obturator membrane; RVF = rectovaginal fascia. LMA = m. longitudinal muscle of the anus; PCM = m. pubococcygeus; PUL = pubourethral ligament; USL = uterosacral ligament.

 

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