[The key points to comprehend the pelvic fascia]

Area of Science:

• Anatomy
• Surgical Anatomy
• Clinical Anatomy

Background:

• Pelvic fascia is a controversial anatomical structure with non-unified naming conventions among colorectal, gynecologic, and urologic surgeons.
• Discrepancies in terminology and descriptions of pelvic structures, such as the pelvic plexus, hinder interdisciplinary communication and understanding.

Purpose of the Study:

• To clarify common puzzles in pelvic clinical anatomy.
• To establish a unified understanding of pelvic fascia and related structures for improved surgical practice and communication.

Main Methods:

• Autopsy research
• Surgical observation
• Literature review

Main Results:

• Urogenital fascia and vesicohypogastric fascia are components of the visceral fascia.
• Visceral fascia and the fascia propria of the rectum are distinct layers.
• The pelvic plexus is situated externally to the junction of the visceral fascia and Denonvilliers' fascia.
• The pelvic lateral ligament should be understood through its layered structure.
• A holistic perspective is recommended for understanding pelvic fascia.

Conclusions:

• Standardizing terminology for pelvic fascia is crucial for anatomical clarity.
• A layered and holistic approach enhances the understanding of pelvic anatomy.
• Clarified anatomical descriptions facilitate better interdisciplinary collaboration in pelvic surgery.