The cone of renal fascia in the adult white male

Congdon, E. D.; Edson, John N.

doi:10.1002/ar.1090800303

Cited by 52 publications

(16 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Historically, it was assumed that the PRS generally had no continuity across the midline 92,96) . Medially, the posterior fascial layer fuses with the psoas or quadratus lumborum fascia 101) , and the anterior RF blends into the dense mass of connective tissue surrounding the great vessels at the root of the mesentery and behind the pancreas and duodenum 102) . However, in vivo cases and cadaveric injection studies suggest there may be some communication across the midline below the level of the renal hilum 103,104) .…”

Section: Perirenal Space (Prs)mentioning

confidence: 99%

“…Although spine surgeons may not be familiar with this fascia, the LCF was first described in early the 1900s 101,118,119) . The anterior and posterior RF merge laterally on each side behind the ascending and descending colon to form the LCF, separating the APS and PPS and continuing anterolaterally deep to the TF 102,120,121) .…”

Section: Lateroconal Fascia (Lcf)mentioning

confidence: 99%

“…The FF behind the right and left retroperitonealized mesocolon are called the right and left retrocolic fasciae of Toldt 101,126) . This construct describes a retroperitoneal fascia formed by the fusion of an embryonic mesentery with embryonic retro-peritoneum (Fig.…”

Section: Fusional Fasciae (Ff)mentioning

confidence: 99%

See 2 more Smart Citations

Understanding Retroperitoneal Anatomy for Lateral Approach Spine Surgery

Kanemura

Satake

Nakashima

et al. 2017

Spine Surg Relat Res

View full text Add to dashboard Cite

Abstract:Lateral approach spine surgery provides effective interbody stabilization, and correction and indirect neural decompression with minimal-incision and less invasive surgery compared with conventional open anterior lumbar fusion. It may also avoid the trauma to paraspinal muscles or facet joints found with transforaminal lumbar interbody fusion and posterior lumbar interbody fusion. However, because lateral approach surgery is fundamentally retroperitoneal approach surgery, it carries potential risk to intra-and retroperitoneal structures, as seen in a conventional open anterior approach. There is an innovative lateral approach technique that reveals different anatomical views; however, it requires reconsideration of the traditional surgical anatomy in more detail than a traditional open anterior approach. The retroperitoneum is the compartmentalized space bounded anteriorly by the posterior parietal peritoneum and posteriorly by the transversalis fascia. The retroperitoneum is divided into three compartments by fascial planes: anterior and posterior pararenal spaces and the perirenal space. Lateral approach surgery requires mobilization of the peritoneum and its content and accurate exposure to the posterior pararenal space. The posterior pararenal space is confined anteriorly by the posterior renal fascia, anteromedially by the lateroconal fascia, and posteriorly by the transversalis fascia. The posterior renal fascia, the lateroconal fascia or the peritoneum should be detached from the transversalis fascia and the psoas fascia to allow exposure to the posterior pararenal space. The posterior pararenal space, however, does not allow a clear view and identification of these fasciae as this relationship is variable and the medial extent of the posterior pararenal space varies among patients. Correct anatomical recognition of the retroperitoneum is essential to success in lateral approach surgery. Spine surgeons must be aware that the retroperitoneal membrane and fascia is multilayered and more complex than is commonly understood. Preoperative abdominal images would facilitate more efficient surgical considerations of retroperitoneal membrane and fascia in lateral approach surgery.

show abstract

Section: Perirenal Space (Prs)mentioning

confidence: 99%

Section: Lateroconal Fascia (Lcf)mentioning

confidence: 99%

See 1 more Smart Citation

Understanding Retroperitoneal Anatomy for Lateral Approach Spine Surgery

Kanemura

Satake

Nakashima

et al. 2017

Spine Surg Relat Res

View full text Add to dashboard Cite

show abstract

“…It is thus isolated and separated from the controlateral renal space (Zuckerkandl, 1883, in Mitchell, 1950Sappey, 1889;Gerota, 1895;Poirier et al, 1923;Testut, 1923;Congdon and Edson, 1941;Martin, 1942;Bellocq, 1944;Tobin, 1944;Mitchell, 1950;Amin et al, 1976;Barbaric, 1976;Thornbury, 1979;McClennan et al, 1986;Kunin, 1986;Lim et al, 1988Lim et al, , 1990a. For others, the right and left renal spaces communicate with one another in front of the vertebral plane, the anterior and posterior layers fusing, respectively, with their contralateral homologues (Somogyi et al, 1979;Parienty et al, 1981;Dodds et al, 1986;Raptopoulos et al, 1986;Korobkin et al, 1992;Mindell et al, 1995).…”

Section: Historical Backgroundmentioning

confidence: 99%

Is the renal space closed?

Wolfram-Gabel¹,

Kahn²,

Rapp³

2000

Clin. Anat.

View full text Add to dashboard Cite

“…may not be familiar to anatomists, they are clearly evident during dissection as well as in surgery, and thus have long been known since they were first described [Hinman, 1935;Congdon and Edson, 1941].…”

mentioning

confidence: 99%

Development of the Human Retroperitoneal Fasciae

Matsubara

Murakami²,

Niikura

et al. 2009

Cells Tissues Organs

View full text Add to dashboard Cite

Introduction: Although the renal fascia (RF), ureteral sheath, lateroconal fascia (LF) and hypogastric nerve are critical landmarks for retroperitoneal surgery, their laminar relationships require clarification. Materials and Methods: Horizontal sections (hematoxylin-eosin staining) of human fetuses at two different developmental stages [9–12 (3 fetuses, crown-rump length, CRL 40–65 mm) and 20–25 weeks of gestation (9 fetuses, CRL 152–220 mm)] were compared. Results: In the early-stage group, the pararenal space had already formed between the posterior RF and the transversalis fascia (TF). The anterior RF extended along the peritoneum and often fused with the latter. In the late-stage group, the posterior RF extended inferomedially toward the anterior aspect of the aorta and inferior vena cava. However, at the level of the renal hilus, the posterior RF was connected with vascular sheaths of the great vessels. The LF was seen developing as a fasciculation of the multilaminar structure in the pararenal space. However, on the posterolateral side of the colon after retroperitoneal fixation, the fusion fascia of the peritoneum could also be identified as LF. Conclusions: A common sheath for ureters and hypogastric nerves appeared to be likely on the inferior side of the kidney. The LF did not appear to be a primary structure such as the RF, but a result of secondary mechanical stress due to fatty tissue developing earlier along the TF than in the perirenal space. However, the suggested similarity between LF and fusion fascia in the plane occupied was a likely cause for misinterpreting the laminar configurations during surgery.

show abstract

The cone of renal fascia in the adult white male

Cited by 52 publications

References 4 publications

Understanding Retroperitoneal Anatomy for Lateral Approach Spine Surgery

Understanding Retroperitoneal Anatomy for Lateral Approach Spine Surgery

Is the renal space closed?

Development of the Human Retroperitoneal Fasciae

Contact Info

Product

Resources

About