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Details for article 5 of 6 found articles
| Title: |
Pelvic Fascias and Inferior Hypogastric Plexus. Surgical and Anatomical Considerations. |
| Author: |
Vicente Mitidieri Alejandro Mitidieri Nahuel Paesano |
| Appeared in: |
Revista Argentina de anatomía online |
| Paging: | Volume 1 (2010) nr. 4 pages 129-135 |
| Year: |
2010 |
| Contents: |
Iatrogenic lesions of the hypogastric Plexus are frequent, due to the fact that autonomic nerves are located on the lowest portion of the sacral vertebrae, and they are very difficult to locate and dissect during surgery. Three fresh cadavers were studied, 5 formolized. A fascia that is extended from one ureter to the other was found, which surrounds the genital vessels and the Superior Hypogastric Plexus. When it passes the sacral promontory it constitutes a frontal partition between the fascia recti and the sacrum, leaving the ureters laterally and the sympathetic plexus medially. It continues as to sagital partitions which leave outside the Inferior Hypogastric Plexus. The hypograstric plexus is conformed by the Hypogastric nerves, the Sacral Splanchnic nerves and the Pelvic Splanchnic nerves. It constitutes two parasagital partitions, which are divided into two groups of fibers: some posterior, which are distributed through the superior rectum, and some anterior, to the bladder, inferior rectum, prostate (or cervix), and erectile tissue. The previously mentioned approach the prostate from behind through its lateral inferior side, on 8:20 time, and enter the penis cell through the medium perineal aponeurosis, behind the membranous urethra. In spite of the difficulties of the identification of the Inferior Hypogastric Plexus during the surgical act, we believe that if dissection is made by maintaining integrity of these fascias, noble structures are respected even if they can’t be seen. |
| Publisher: |
Asociacion Argentina de Anatomia (provided by DOAJ) |
| Source file: |
Elektronische Wetenschappelijke Tijdschriften |
Details for article 5 of 6 found articles
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