Anatomical investigation of the pelvic urogenital fascia in 10 formalin-fixed female cadavers: novel insights into the laparoscopic total mesometrial resection
Abstract Purpose Previous anatomical studies of the urogenital fascia (UGF) have focused on males, and there is a lack of relevant anatomical studies on the distribution of the extraperitoneal UGF in females. Methods In this investigation, guided by the embryonic development of the female urogenital...
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| Format: | Article |
| Language: | English |
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BMC
2023-10-01
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| Series: | BMC Surgery |
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| Online Access: | https://doi.org/10.1186/s12893-023-02239-5 |
| _version_ | 1797647383848288256 |
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| author | Zheqi Zhou Bin Li Jinsong Zhou Yanbing Ma Yang Zhao Cong Tong Hui Wang Dian Jin Yujie Li Likun Yan |
| author_facet | Zheqi Zhou Bin Li Jinsong Zhou Yanbing Ma Yang Zhao Cong Tong Hui Wang Dian Jin Yujie Li Likun Yan |
| author_sort | Zheqi Zhou |
| collection | DOAJ |
| description | Abstract Purpose Previous anatomical studies of the urogenital fascia (UGF) have focused on males, and there is a lack of relevant anatomical studies on the distribution of the extraperitoneal UGF in females. Methods In this investigation, guided by the embryonic development of the female urogenital system, the ventral pelvic fascia structure of 10 female cadavers was dissected, and the distribution and morphology of female extraperitoneal UGF were observed, recorded in text, photographs and video, and 3D modeling was performed. Results We find that in the female extraperitoneal space there is a migratory fascial structure, the UGF, which surrounds the urogenital system and extends from the perinephric region to the pelvis along with the development of the urogenital organs. The two layers of the UGF are composed of loose connective tissue rich in fat that surrounds the urogenital organs, their accessory vascular structures, and the nerves of the abdominopelvic cavity. In the pelvis, it participates in the formation of the ligamentous structures around the rectum and uterus. Finally, it surrounds the bladder and gradually moves into the loose connective tissue of the medial umbilical fold. Conclusions Sorting out the distribution characteristics of UGF has some reference value for studying the metastasis of gynecological tumors, the biomechanical structure of the female pelvis, and the surgical methods of gynecology, colorectal surgery, and hernia surgery. |
| first_indexed | 2024-03-11T15:16:31Z |
| format | Article |
| id | doaj.art-1ebc2b7ddeea4403be74822f1ef5d243 |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-03-11T15:16:31Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-1ebc2b7ddeea4403be74822f1ef5d2432023-10-29T12:12:55ZengBMCBMC Surgery1471-24822023-10-012311810.1186/s12893-023-02239-5Anatomical investigation of the pelvic urogenital fascia in 10 formalin-fixed female cadavers: novel insights into the laparoscopic total mesometrial resectionZheqi Zhou0Bin Li1Jinsong Zhou2Yanbing Ma3Yang Zhao4Cong Tong5Hui Wang6Dian Jin7Yujie Li8Likun Yan9Department of General Surgery, Shaanxi Provincial People’s HospitalDepartment of Obstetrics and Gynecology, Shaanxi Provincial People’s HospitalDepartment of Human Anatomy, Histology and Embryology, School of Basic Medical Sciences, Xi’an Jiaotong University Health Science CenterDepartment of Human Anatomy, Histology and Embryology, School of Basic Medical Sciences, Xi’an Jiaotong University Health Science CenterEditorial Board of Shaanxi Popular Medical EducationDepartment of General Surgery, Shaanxi Provincial People’s HospitalDepartment of General Surgery, Shaanxi Provincial People’s HospitalDepartment of General Surgery, Shaanxi Provincial People’s HospitalYan’an UniversityDepartment of General Surgery, Shaanxi Provincial People’s HospitalAbstract Purpose Previous anatomical studies of the urogenital fascia (UGF) have focused on males, and there is a lack of relevant anatomical studies on the distribution of the extraperitoneal UGF in females. Methods In this investigation, guided by the embryonic development of the female urogenital system, the ventral pelvic fascia structure of 10 female cadavers was dissected, and the distribution and morphology of female extraperitoneal UGF were observed, recorded in text, photographs and video, and 3D modeling was performed. Results We find that in the female extraperitoneal space there is a migratory fascial structure, the UGF, which surrounds the urogenital system and extends from the perinephric region to the pelvis along with the development of the urogenital organs. The two layers of the UGF are composed of loose connective tissue rich in fat that surrounds the urogenital organs, their accessory vascular structures, and the nerves of the abdominopelvic cavity. In the pelvis, it participates in the formation of the ligamentous structures around the rectum and uterus. Finally, it surrounds the bladder and gradually moves into the loose connective tissue of the medial umbilical fold. Conclusions Sorting out the distribution characteristics of UGF has some reference value for studying the metastasis of gynecological tumors, the biomechanical structure of the female pelvis, and the surgical methods of gynecology, colorectal surgery, and hernia surgery.https://doi.org/10.1186/s12893-023-02239-5Urogenital fasciaTotal mesometrial resectionExtraperitoneal spaceBroad ligamentRound ligamentPelvic fascial structures |
| spellingShingle | Zheqi Zhou Bin Li Jinsong Zhou Yanbing Ma Yang Zhao Cong Tong Hui Wang Dian Jin Yujie Li Likun Yan Anatomical investigation of the pelvic urogenital fascia in 10 formalin-fixed female cadavers: novel insights into the laparoscopic total mesometrial resection BMC Surgery Urogenital fascia Total mesometrial resection Extraperitoneal space Broad ligament Round ligament Pelvic fascial structures |
| title | Anatomical investigation of the pelvic urogenital fascia in 10 formalin-fixed female cadavers: novel insights into the laparoscopic total mesometrial resection |
| title_full | Anatomical investigation of the pelvic urogenital fascia in 10 formalin-fixed female cadavers: novel insights into the laparoscopic total mesometrial resection |
| title_fullStr | Anatomical investigation of the pelvic urogenital fascia in 10 formalin-fixed female cadavers: novel insights into the laparoscopic total mesometrial resection |
| title_full_unstemmed | Anatomical investigation of the pelvic urogenital fascia in 10 formalin-fixed female cadavers: novel insights into the laparoscopic total mesometrial resection |
| title_short | Anatomical investigation of the pelvic urogenital fascia in 10 formalin-fixed female cadavers: novel insights into the laparoscopic total mesometrial resection |
| title_sort | anatomical investigation of the pelvic urogenital fascia in 10 formalin fixed female cadavers novel insights into the laparoscopic total mesometrial resection |
| topic | Urogenital fascia Total mesometrial resection Extraperitoneal space Broad ligament Round ligament Pelvic fascial structures |
| url | https://doi.org/10.1186/s12893-023-02239-5 |
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