Effect of Extralevator Abdominoperineal Excision on Biomechanics of Female Pelvic Floor: A Finite Element Analysis

Autor: Jiefu WANG, Xinran LU, Wenpeng WANG
Jazyk: čínština
Rok vydání: 2024
Předmět:
Zdroj: Zhongliu Fangzhi Yanjiu, Vol 51, Iss 7, Pp 573-577 (2024)
Druh dokumentu: article
ISSN: 1000-8578
DOI: 10.3971/j.issn.1000-8578.2024.24.0113
Popis: ObjectiveTo explore the effects of four extralevator abdominoperineal excision (ELAPE) procedures on the biomechanics of female pelvic floor through finite element analysis. MethodsSix finite element models of the female pelvic floor were established, including a normal model, an ELAPE model, and four individual models. The maximum stress in each model was measured under the same pressure, and the stress distribution was observed. ResultsThe maximum stress of non-levator ani muscle tissues on the partially reserved side and totally removed side of the levator ani muscle were 3.101±0.133 and 4.868±0.123 MPa in individual model 1, respectively, which were lower than the maximum stress in the ELAPE model (5.111±0.081 MPa; both P0.05). The maximum stress of non-levator ani muscle tissues were 4.700±0.105 and 3.653±0.156 MPa in individual models 3 and 4, respectively, which were lower than the maximum stress in the ELAPE model (both P
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