{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T01:52:26Z","timestamp":1785462746120,"version":"3.56.0"},"reference-count":35,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,3,1]],"date-time":"2018-03-01T00:00:00Z","timestamp":1519862400000},"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":[[2018,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to investigate the detailed, <jats:italic>in\u00a0situ,<\/jats:italic> morphology of Denonvilliers\u2019 fascia (<jats:styled-content style=\"fixed-case\">DVF<\/jats:styled-content>) in cadavers using sheet plastination and confocal microscopy and to review and describe the optimal anterior plane for mobilization of the distal rectum.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Six male cadavers (age range 46\u201387\u00a0years) were prepared as six sets of transverse (\u00d7\u00a02), coronal (\u00d7\u00a01) and sagittal (\u00d7\u00a03) plastinated sections which were examined under a confocal laser scanning microscope.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In this study a consistent space between the anterior rectal wall and the posterior surface of the prostate and seminal vesicles above the level of the perineal body was termed the prerectal space. Within that prerectal space we identified fibres which take their origin from the external urethral sphincter (<jats:styled-content style=\"fixed-case\">EUS<\/jats:styled-content>), together with others from the longitudinal rectal muscle (<jats:styled-content style=\"fixed-case\">LRM<\/jats:styled-content>) and the connective tissue sheaths of neurovascular bundles. Neither the <jats:styled-content style=\"fixed-case\">EUS<\/jats:styled-content>\u2010 nor the <jats:styled-content style=\"fixed-case\">LRM<\/jats:styled-content>\u2010originated fibres were continuous with the endopelvic fascia; they were interposed laterally and cranially by multiple neurovascular bundles. Further, our results suggest that the peritoneum does not descend deep within the prerectal space.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study reveals the undisturbed, <jats:italic>in\u00a0situ<\/jats:italic>, structural detail of membrane\u2010like structures in the prerectal space and confirms that the optimal plane for anterolateral mobilization of the rectum is posterior to the multilayered Denonvilliers\u2019 fascia.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.13906","type":"journal-article","created":{"date-parts":[[2017,10,4]],"date-time":"2017-10-04T19:42:35Z","timestamp":1507146155000},"page":"236-242","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Denonvilliers\u2019 fascia in men: a sheet plastination and confocal microscopy study of the prerectal space and the presence of an optimal anterior plane when mobilizing the rectum for cancer"],"prefix":"10.1111","volume":"20","author":[{"given":"Z.","family":"Xu","sequence":"first","affiliation":[{"name":"Department of Anatomy Anhui Medical University Hefei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. 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