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Review of Denonvilliers’ fascia: the controversies and consensuses
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 ha...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7603872/ https://www.ncbi.nlm.nih.gov/pubmed/33163188 http://dx.doi.org/10.1093/gastro/goaa053 |
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author | Zhu, Xiao-Ming Yu, Guan-Yu Zheng, Nan-Xin Liu, Hui-Min Gong, Hai-Feng Lou, Zheng Zhang, Wei |
author_facet | Zhu, Xiao-Ming Yu, Guan-Yu Zheng, Nan-Xin Liu, Hui-Min Gong, Hai-Feng Lou, Zheng Zhang, Wei |
author_sort | Zhu, Xiao-Ming |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-7603872 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-76038722020-11-06 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 Gastroenterol Rep (Oxf) Review Articles 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. Oxford University Press 2020-09-30 /pmc/articles/PMC7603872/ /pubmed/33163188 http://dx.doi.org/10.1093/gastro/goaa053 Text en © The Author(s) 2020. Published by Oxford University Press and Sixth Affiliated Hospital of Sun Yat-sen University http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Articles Zhu, Xiao-Ming Yu, Guan-Yu Zheng, Nan-Xin Liu, Hui-Min Gong, Hai-Feng Lou, Zheng Zhang, Wei Review of Denonvilliers’ fascia: the controversies and consensuses |
title | Review of Denonvilliers’ fascia: the controversies and consensuses |
title_full | Review of Denonvilliers’ fascia: the controversies and consensuses |
title_fullStr | Review of Denonvilliers’ fascia: the controversies and consensuses |
title_full_unstemmed | Review of Denonvilliers’ fascia: the controversies and consensuses |
title_short | Review of Denonvilliers’ fascia: the controversies and consensuses |
title_sort | review of denonvilliers’ fascia: the controversies and consensuses |
topic | Review Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7603872/ https://www.ncbi.nlm.nih.gov/pubmed/33163188 http://dx.doi.org/10.1093/gastro/goaa053 |
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