关键词: Gubernaculum Inguinal hernia Intermediate mesoderm Preperitoneal fascia Preperitoneal space Urogenital fascia

Mesh : Humans Hernia, Inguinal / surgery Clinical Relevance Inguinal Canal / anatomy & histology Fascia / anatomy & histology Peritoneum / anatomy & histology surgery Cadaver

来  源:   DOI:10.1007/s00276-022-03046-y

Abstract:
OBJECTIVE: Many researchers have different views on the origin and anatomy of the preperitoneal fascia. The purpose of this study is to review studies on the anatomy related to the preperitoneal fascia and to investigate the origin, structure, and clinical significance of the preperitoneal fascia in conjunction with previous anatomical findings of the genitourinary fascia, using the embryogenesis of the genitourinary system as a guide.
METHODS: Publications on the preperitoneal and genitourinary fascia are reviewed, with emphasis on the anatomy of the preperitoneal fascia and its relationship to the embryonic development of the genitourinary organs. We also describe previous anatomical studies of the genitourinary fascia in the inguinal region through the fixation of formalin-fixed cadavers.
RESULTS: Published literature on the origin, structure, and distribution of the preperitoneal fascia is sometimes inconsistent. However, studies on the urogenital fascia provide more than sufficient evidence that the formation of the preperitoneal fascia is closely related to the embryonic development of the urogenital fascia and its tegument. Combined with previous anatomical studies of the genitourinary fascia in the inguinal region of formalin-fixed cadavers showed that there is a complete fascial system. This fascial system moves from the retroperitoneum to the anterior peritoneum as the preperitoneal fascia.
CONCLUSIONS: We can assume that the preperitoneal fascia (PPF) is continuous with the retroperitoneal renal fascia, ureter and its accessory vessels, lymphatic vessels, peritoneum of the bladder, internal spermatic fascia, and other peritoneal and pelvic urogenital organ surfaces, which means that the urogenital fascia (UGF) is a complete fascial system, which migrates into PPF in the preperitoneal space and the internal spermatic fascia in the inguinal canal.
摘要:
目的:许多研究人员对腹膜前筋膜的起源和解剖有不同的看法。目的回顾与腹膜前筋膜有关的解剖学研究,探讨其起源,结构,以及腹膜前筋膜的临床意义与先前泌尿生殖道筋膜的解剖学发现相结合,以泌尿生殖系统的胚胎发生为指导。
方法:综述了有关腹膜前和泌尿生殖道筋膜的出版物,重点介绍腹膜前筋膜的解剖结构及其与泌尿生殖器官胚胎发育的关系。我们还通过福尔马林固定的尸体的固定,描述了腹股沟区泌尿生殖道筋膜的先前解剖学研究。
结果:已发布有关起源的文献,结构,腹膜前筋膜的分布有时不一致。然而,对泌尿生殖道筋膜的研究提供了充分的证据,表明腹膜前筋膜的形成与泌尿生殖道筋膜及其被膜的胚胎发育密切相关。结合先前对福尔马林固定尸体腹股沟区泌尿生殖道筋膜的解剖学研究,表明存在完整的筋膜系统。该筋膜系统从腹膜后移动到腹膜前筋膜。
结论:我们可以假设腹膜前筋膜(PPF)与腹膜后肾筋膜是连续的,输尿管及其附属血管,淋巴管,膀胱的腹膜,精索内筋膜,和其他腹膜和盆腔泌尿生殖器官表面,这意味着泌尿生殖道筋膜(UGF)是一个完整的筋膜系统,迁移到腹膜前间隙的PPF和腹股沟管中的精索内筋膜。
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