Paradigm shift regarding the transversalis fascia, preperitoneal space, and Retzius' space

Hernia : the Journal of Hernias and Abdominal Wall Surgery
N Asakage

Abstract

There has been confusion in the anatomical recognition when performing inguinal hernia operations in Japan. From now on, a paradigm shift from the concept of two-dimensional layer structure to the three-dimensional space recognition is necessary to promote an understanding of anatomy. Along with the formation of the abdominal wall, the extraperitoneal space is formed by the transversalis fascia and preperitoneal space. The transversalis fascia is a somatic vascular fascia originating from an arteriovenous fascia. It is a dense areolar tissue layer at the outermost of the extraperitoneal space that runs under the diaphragm and widely lines the body wall muscle. The umbilical funiculus is taken into the abdominal wall and transformed into the preperitoneal space that is a local three-dimensional cavity enveloping preperitoneal fasciae composed of the renal fascia, vesicohypogastric fascia, and testiculoeferential fascia. The Retzius' space is an artificial cavity formed at the boundary between the transversalis fascia and preperitoneal space. In the underlay mesh repair, the mesh expands in the range spanning across the Retzius' space and preperitoneal space.

References

Mar 1, 2008·Journal of the American College of Surgeons·Petros MirilasJohn E Skandalakis
Apr 1, 1963·Archives of Disease in Childhood·B Duhamel
May 19, 2012·Seminars in Vascular Surgery·Anthony J Comerota

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Citations

May 21, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·Maulana Mohammed Ansari
Jun 17, 2020·Transplantation·Kenjiro KumanoBashoo Naziruddin
May 13, 2021·Minimally Invasive Surgery·Xue-Lu ZhouHuan-Bin Zhang
Jun 2, 2021·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·Michaela RamserUlrich A Dietz
Jun 30, 2021·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·Michaela RamserUlrich A Dietz

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