{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T12:03:43Z","timestamp":1791201823832,"version":"4.2.0"},"reference-count":30,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2013,11,21]],"date-time":"2013-11-21T00:00:00Z","timestamp":1384992000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2013,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Genito\u2010urinary complications are frequent after rectal surgery and are often due to nerve damage. The relationship between the pelvic nerves and surgical planes are unclear. The aim of the study was to determine the relationship between the inferior hypogastric plexus and the fascia of the lateral pelvic wall and between <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>enonvilliers\u2019 fascia and the efferent branches of the inferior hypogastric plexus.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Computer\u2010assisted anatomical dissection was used. Serial histological sections were made from six human foetuses and a male adult. Sections were stained with haematoxylin and eosin, <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>asson's trichrome and immunostainings. The sections were then digitalized and reconstructed in three dimensions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The inferior hypogastric plexus was situated in a virtual space between the fascia propria of the rectum and the fascia on the upper surface of the levator ani. During the lateral dissection, the optimal surgical plane is the plane of the fascia propria of the rectum. We located <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>enonvilliers\u2019 fascia in three dimensions. It plays the role of a protective sheet for the neurovascular bundle. The optimal plane for nerve preservation is situated behind <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>enonvilliers\u2019 fascia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study has enabled a clear visualization of the optimal planes to perform total mesorectal excision while ensuring nerve preservation. Three\u2010dimensional visualization clearly helps to bridge the gap between histological examination and the findings of surgery.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.12459","type":"journal-article","created":{"date-parts":[[2013,10,16]],"date-time":"2013-10-16T17:14:37Z","timestamp":1381943677000},"page":"1521-1528","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Optimal plane for nerve sparing total mesorectal excision, immunohistological study and 3<scp>D<\/scp> reconstruction: an embryological study"],"prefix":"10.1111","volume":"15","author":[{"given":"M. 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