Dis Colon Rectum 2021 May;64(5):576-582
1 Surgical Anatomy Unit, Department of Human Anatomy and Embryology, Faculty of Medicine and Dentistry. University of Valencia, Spain 2 European Center for Colorectal Surgery, Coloproctology Unit, Vithas Valencia, Valencia, Spain 3 Department of General and Digestive Surgery, Coloproctology Unit, University General Hospital Consortium, Valencia, Spain 4 Department of General and Digestive Surgery, Coloproctology Unit, Son Espases University Hospital, Palma de Mallorca, Spain.
Background: Below the anterior peritoneal reflection, the anterior rectal wall and mesorectum are separated from the posterior vaginal wall by a virtual rectovaginal space. In this space, the description of a specific and independent rectovaginal septum as a female counterpart of Denonvilliers fascia has been the subject of debate over the years.
Objective: The aim of this study is to perform an accurate anatomical study of the rectovaginal area in a cadaveric simulation model of total mesorectal excision to evaluate the possible structures and the dissection planes contained within the rectovaginal space. Read More