ISSN:
0003-276X
Keywords:
Life and Medical Sciences
;
Cell & Developmental Biology
Source:
Wiley InterScience Backfile Collection 1832-2000
Topics:
Medicine
Notes:
The relation of the autonomic nerve supply of the pelvis to the visceral pelvic fascia and in particular that of the parasympathetic supply to the bladder musculature is of particular consequence in pelvic operations. It is observed that the pelvic splanchnics, including those branches supplying the bladder, are embedded in the peripheral component of the visceral pelvic fascia or presacral fascia throughout a considerable part of their course. Early anatomists made no distinction between the presacral fascia and the fascial sheath of the rectum proper. Consequently their illustrations shown only a single fascial layer which they call the “rectal fascia” or “posterior fibrous sheath of the rectum” separating the middle sacral vessels from the superior rectal vessels which lie in the pararectal fat. While such a distinction has since been made in the surgical literature, most anatomical descriptions are still rather vague in this respect. It is essential to develop the plane of cleavage between the presacral fascia and the fascial sheath of the rectum if injury to the pelvic splanchnic nerves is to be avoided.
Additional Material:
5 Ill.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1002/ar.1091660209
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