Anus elevator muscle

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Understanding Levator Ani Syndrome

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Pelvic floor muscle training exercises: MedlinePlus Medical Encyclopedia

The root cause of rectal spasm is tension in the pelvic muscles including the levator ani muscle. The levator ani is a broad, thin muscle inside the pelvis that tightens and relaxes to aid in a number of bodily functions, including bowel movements. Pelvic floor muscle spasms can also cause tightness, burning, and a sensation that the rectum is full. Sometimes the pelvic muscle spasm is caused by a trapped nerve or ligament, or some sort of adhesion or restriction in your pelvis. Levator ani pain tends to be constant and centered in but not restricted to the levator ani muscle, while proctalgia fugax pain is a short, stabbing pain in the rectum.
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elevator muscle of anus

Publicationdate January 21, Perianal fistula is a common disorder that often recurs because of infection that was missed at surgery. Preoperative MR can help to prevent recurrence. In this review we will address the anatomy, pathogenesis, classification and scanning protocol of perianal fistulas. Surgically, the anal canal extends from the perineal skin to the anorectal ring.
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The eight main operative steps are: 1- patient positioning; 2- trocars set-up and robot docking; 3- sigmoid colon, left colon and splenic flexure mobilization lateral-to-medial approach ; 4-Inferior mesenteric artery and vein ligation medial-to-lateral approach ; 5- total mesorectum excision and preservation of hypogastric and pelvic autonomic nerves sacral dissection, lateral dissection, pelvic dissection ; 6- division of the rectum using an endo roticulator stapler for the laparoscopic performance of a double-stapled coloanal anastomosis type I tumor ; 7- intersphincteric resection, extraction of the specimen through the anus and lateral-to-end hand sewn coloanal anastomosis type II tumor ; 8- cylindric abdominoperineal resection, with transabdominal section of the levator muscles type IV tumor. The techniques employed were safe and have presented low rates of complication and no mortality. However, with better knowledge of the importance of the circumferential resection margin, total mesorectal excision TME 2 , currently joined by the routine use of neoadjuvant chemoradiotherapy QRT 3 , new operative techniques with sphincter preservation have risen. The individualization of the best operation, which is facilitated by examination of pelvic magnetic resonance imaging MRI 4 , was advocated 5 with the proposition of a classification divided into four tumor types supra-anal, juxta-anal, intra-anal and transanal and, respectively, four types of operations ultra-low anterior resection, partial intersphincteric resection IR , total IR and APR.

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