Your browser doesn't support javascript.
loading
Review of Denonvilliers' fascia: the controversies and consensuses.
Zhu, Xiao-Ming; Yu, Guan-Yu; Zheng, Nan-Xin; Liu, Hui-Min; Gong, Hai-Feng; Lou, Zheng; Zhang, Wei.
Afiliação
  • Zhu XM; Department of Colorectal Surgery, Changhai Hospital, Shanghai, P. R. China.
  • Yu GY; Department of Colorectal Surgery, Changhai Hospital, Shanghai, P. R. China.
  • Zheng NX; Department of Colorectal Surgery, Changhai Hospital, Shanghai, P. R. China.
  • Liu HM; Colorectal Surgery Service, Department of General Surgery, Tan Tock Seng Hospital, Singapore.
  • Gong HF; Department of Colorectal Surgery, Changhai Hospital, Shanghai, P. R. China.
  • Lou Z; Department of Colorectal Surgery, Changhai Hospital, Shanghai, P. R. China.
  • Zhang W; Department of Colorectal Surgery, Changhai Hospital, Shanghai, P. R. China.
Gastroenterol Rep (Oxf) ; 8(5): 343-348, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33163188
ABSTRACT
The Denonvilliers' fascia (DVF) plays an important role in rectal surgery because of its anatomic position and its relationship to the surrounding organs. It affects the surgical plane anterior to the rectum in the procedure of total mesorectal excision (TME). Anatomical and embryological studies have helped us to understand this structure to some extent, but many controversies remain. In terms of its embryonical origin, there are three mainstream hypotheses peritoneal fusion of the embryonic cul-de-sac, condensation of embryonic mesenchyme, and mechanical pressure. Regarding its architecture, the DVF may be a single, two, or multiple layers, or a composite single-layer structure. In women, most authors deem that this structure does exist but they are willing to call it the rectovaginal septum rather than the DVF. Operating behind the DVF is supported by most surgeons. This article will review those mainstream studies and opinions on the DVF and combine them with what we have observed during surgery to discuss those controversies and consensuses mentioned above. We hope this review may help young colorectal surgeons to have a better understanding of the DVF and provide a platform from which to guide future scientific research.
Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Idioma: Inglês Revista: Gastroenterol Rep (Oxf) Ano de publicação: 2020 Tipo de documento: Artigo

Similares

MEDLINE

...
LILACS

LIS

Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Idioma: Inglês Revista: Gastroenterol Rep (Oxf) Ano de publicação: 2020 Tipo de documento: Artigo