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The resection of the levatormuscles is carried from ventral to dorsal and the extent of resection is tailored to obtainadequate margins (Figure 8-13A).

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Family members verbalizeadherence to a goal of healingfrom the pain of the abuse anddescribe how to move on in lightof what has occurred. (2007) Brain struc-tural alterations before mild cognitive impairment

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Reconstruction using sacral pelvic instrumentation and graftingis favored by the authors (Figure 10-19).