PMID: 11912525Mar 26, 2002Paper

Rectovaginal fascia: An important structure in pelvic visceral surgery? About its development, structure, and function

Journal of Pediatric Surgery
Barbara LudwikowskiHelga Fritsch

Abstract

The existence, development, and function of the rectovaginal fascia has been discussed in literature. In women, a defect in the fascia leads to rectoceles and severe constipation. In pediatric textbooks for anorectal or urogenital surgery, however, it is not mentioned. Does the fascia exist in children? The pelvises of 31 female and, as controls, 31 male fetuses (age from 9 weeks of gestation to newborn) were plastinated. Sections (transversal, sagittal, and frontal) were stained with azure II/ methylenblue/ basic fuchsin and viewed at a magnification of 6.5x to 80x. In addition, the authors investigated macroscopically and microscopically the rectovaginal fascia in 1 fetal and 1 adult cadaver. At the beginning of the fetal period the authors recognized the anlage of the rectovaginal fascia caudal from the rectouterine excavation. Later, a fascia of connective tissue develops. It is connected directly to areolar connective tissue at the dorsal wall of the vagina. Neurovascular bundles are situated ventrolaterally of the rectal wall. At the level of the anorectal flexure this fascia separates the rectum and the vagina. Our investigations indicate that the rectovaginal fascia is completely developed in newborns, through different...Continue Reading

Citations

Feb 23, 2010·AJR. American Journal of Roentgenology·Nan ChenChun Yan Lu
Mar 31, 2016·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·P H ChapuisL Bokey
Jun 5, 2013·Surgical and Radiologic Anatomy : SRA·M M BertrandM Prudhomme
Dec 23, 2015·International Urogynecology Journal·Charles DarianeFrédérique Peschaud
Jun 25, 2020·International Urogynecology Journal·María Alejandra Rodríguez-AbarcaSantos Guzman-Lopez
Oct 7, 2011·World Journal of Surgery·Frédérique PeschaudGérard Benoit
Nov 10, 2020·Gastroenterology Report·Xiao-Ming ZhuWei Zhang
May 4, 2021·Diseases of the Colon and Rectum·María García-GausíFrancisco Martínez-Soriano
Sep 24, 2021·The Cochrane Database of Systematic Reviews·Isabelle Ma van GrutingAbdul H Sultan
Nov 30, 2020·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Tak Lit Derek FungMasaaki Ito

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