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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
A novel concept for the surgical anatomy of the perineal body
Diseases of the Colon and Rectum, Volume 50, No. 12, Year 2007
Notification
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Description
PURPOSE: Perineal body is considered by investigators as a fibromuscular structure that is the site of insertion of perineal muscles. We investigated the hypothesis that perineal body is the site across which perineal muscles pass uninterrupted from one side to the other. METHODS: Perineal body was studied in 56 cadaveric specimens (46 adults, 10 neonatal deaths) by direct dissection with the help of magnifying loupe, fine surgical instruments, and bright light. RESULTS: Perineal body consisted of three layers: 1) superficial layer, which consisted of fleshy fibers of the external anal sphincter extending across perineal body to become the bulbospongiosus muscle; 2) tendinous extension of superficial transverse perineal muscle crossing perineal body to contralateral superficial transverse perineal muscle, with which it formed a criss-cross pattern; and 3) tendinous fibers of the deep transverse perineal muscle; the fibers crossing perineal body decussated in criss-cross pattern with the contralateral deep transverse perineal muscle. A relation of levator ani or puborectalis muscles to perineal body could not be identified. CONCLUSIONS: Perineal body (central perineal tendon) is not the site of insertion of perineal muscles but the site along which muscle fibers of these muscles and the external anal sphincter pass uninterrupted from one side to the other. Such a free passage from one muscle to the other seems to denote a "digastric pattern" for the perineal muscles. Perineal body is subjected to injury or continuous intra-abdominal pressure variations, which may eventually result in perineocele, enterocele, or sigmoidocele. © 2007 American Society of Colon and Rectal Surgeons.
Authors & Co-Authors
Shafìk, Ahmed A.
Egypt, Cairo
Faculty of Medicine
Sibai, Olfat El
Egypt, Shibin el Kom
Menoufia University Faculty of Medicine
Shafik, Ali A.
Egypt, Cairo
Faculty of Medicine
Shafik, Ismail A.A.
Egypt, Cairo
Faculty of Medicine
Statistics
Citations: 57
Authors: 4
Affiliations: 2
Identifiers
Doi:
10.1007/s10350-007-9064-8
ISSN:
00123706
e-ISSN:
15300358
Research Areas
Health System And Policy
Maternal And Child Health
Violence And Injury