Research status of embryology of pelvic nerve

doi:10.3877/cma.j.issn.2095-3224.2018.06.002

Abstract

Abstract:

In the embryonic development of 5 weeks, the pelvic plexus began to develop. At 8 weeks, the embryo had the structure corresponding to the adult pelvic nerve and had no obvious displacement and deformation at the later stage of embryonic development. Embryonic pelvic connective tissue development late, until 19~28 weeks the early pelvic fascia was visible, because the pelvic pelvic adipose tissue is not rich, connective tissue interval is clearly visible. In addition, compared with adults, the fetal pelvic nerve is thicker than the surrounding tissue, relative to the surrounding tissue is more prominent, with better research conditions. Fetal plexus distribution of varying sizes of the ganglion, the overall appearance of triangular or quadrilateral appearance. The plexus gradually moves towards the secondary branch, finally converges in a caudal direction and through the pelvic floor.

Key words: Rectal neoplasms, Embryology, Anatomy, Pelvic autonomic nerve

Xingru Ren, Xiaobo Liang. Research status of embryology of pelvic nerve[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2018, 07(06): 510-513.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhjzcjbdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-3224.2018.06.002

https://zhjzcjbdzzz.cma-cmc.com.cn/EN/Y2018/V07/I06/510

References 27

[1]	周总光, 王自强. 欧美与日本中低位直肠癌诊治指南解读[J].中国实用外科杂志, 2009, 29(4): 291-292.
[2]	Enker WE, Thaler HT, Cranor ML, et al. Total mesorectal excision in the operative treatment of carcinoma of the rectum [J]. J Am Coll Surg, 1995, 181(4): 335-346.
[3]	Walsh PC, Schlegel PN. Radical pelvic surgery with preservation of sexual function [J]. Ann Surg, 1988,208(4): 391-400.
[4]	Danzi M, Ferulano GP, Abate S, et al. Male sexual function after abdominoperineal resection for rectal cancer[J]. Dis Colon Rectum, 1983, 26(10): 665-668.
[5]	Cunsolo A, Bragaglia RB, Manara G, et al. Urogenital dysfunction after abdominoperineal resection for carcinoma of the rectum [J]. Dis Colon Rectum, 1990, 33(11): 918-922.
[6]	Havenga K, Enker WE, McDermott K, et al. Male and female sexual and urinary function after total mesorectal excision with autonomic nerve preservation for carcinoma of the rectum [J]. J Am Coll Surg, 1996, 182(6): 495-502.
[7]	Hojo K, Vernava AM, Sugihara K, et al. Preservation of urine voiding and sexual function after rectal cancer surgery [J]. Dis Colon Rectum, 1991, 34(7): 532-539.
[8]	Cecil TD, Sexton R, Moran BJ, et al. Total mesorectal excision results in low local recurrence rates in lymph node-positive rectal cancer [J]. Dis Colon Rectum, 2004, 47(7): 1145-1149.
[9]	Kim NK, Aahn TW, Park JK, et al. Assessment of sexual and voiding function after total mesorectal excision with pelvic autonomic nerve preservation in males with rectal cancer [J].Dis Colon Rectum, 2002, 45(9): 1178-1185.
[10]	Maurer CA, Z′Graggen K, Renzulli P, et al. Total mesorectal excision preserves male genital function compared with conventional rectal cancer surgery [J]. Bri J Surg, 2001, 88(11): 1501-1505.
[11]	土屋周二. 直肠癌の手术,自律神经を温存する手术[J]. 手术, 1983, 12(2): 1367-1370．
[12]	De Blok S. The connective tissue of the female fetal pelvic region [J]. Acta Morphol Neerl Scand, 1982, 20(1): 65-90.
[13]	Fritsch H. Topography of the pelvic autonomic nerves in human fetuses between 21 and 29 weeks of gestation [J].Anat Embryol (Berl), 1989, 180(1): 57-64.
[14]	Fritsch H, Hötzinger H. Tomographical anatomy of the pelvis, visceral pelvic connective tissue, and its compartments [J].Clin Anat, 1995, 8(1): 17-24.
[15]	Walsh PC, Donker PJ. Impotence following radical prostatectomy: insight into etiology and prevention [J]. J Urol, 1982, 128(3): 492-497.
[16]	Kimmel DL, Mccrea LE. The development of the pelvic plexuses and the distribution of the pelvic splanchnic nerves in the human embryo and fetus [J]. J Comp Neurol, 1958, 110(2): 271-297.
[17]	Baljet B, Drukker J. Some aspects of the innervation of the abdominal and pelvic organs in the human female fetus [J]. Acta Anat (Basel), 1982, 111(3): 222-230.
[18]	Słabikowski A, Woźniak W, Bruska M. Origin and topography of the pelvic nerves in human embryos and fetuses [J].Folia Morphol (Warsz), 1996, 55(2): 101-113.
[19]	Alsaid B, Bessede T, Karam I, et.al. Coexistence of adrenergic and cholinergic nerves in the inferior hypogastric plexus: anatomical and immunohistochemical study with 3D reconstruction in human male fetus [J]. J Anat, 2009, 214(5): 645-654.
[20]	Arango-Toro O, Domenech-Mateu JM. Development of the pelvic plexus in human embryos and fetuses and its relationship with the pelvic viscera [J]. Eur J Morphol, 1993, 31(3): 193-208.
[21]	Hounnou GM, Uhl JF, Plaisant O, et al. Morphometry by computerized three-dimensional reconstruction of the hypogastric plexus of a human fetus [J]. Surg Radiol Anat, 2003, 25(1): 21-31.
[22]	Bertrand MM, Alsaid B, Droupy S, et al. Optimal plane for nerve sparing total mesorectal excision, immunohistological study and 3D reconstruction: an embryological study [J]. Colorectal Dis, 2013, 15(12): 1521-1528.
[23]	Fritsch H, Fröhlich B. Development of the levator ani muscle in human fetuses [J]. Early Hum Dev, 1994, 37(1): 15-25.
[24]	O′Rahilly R, Müller F, Meyer DB. The human vertebral column at the end of the embryonic period proper. 4. The sacrococcygeal region [J]. J Anat, 1990, 168(2): 95-111.
[25]	Lunacek A, Schwentner C, Fritsch H, et al. Anatomical radical retropubic prostatectomy: ′curtain dissection′ of the neurovascular bundle [J]. BJU Int, 2005, 95(9): 1226-1231.
[26]	Munarriz R, Kim NN, Goldstein I, et al. Biology of female sexual function [J]. Urol Clin North Am, 2002, 29(3): 685-693.
[27]	Moszkowicz D, Alsaid B, Bessede T, et al. Neural supply to the clitoris: immunohistochemical study with three-dimensional reconstruction of cavernous nerve, spongious nerve, and dorsal clitoris nerve in human fetus [J]. J Sex Med, 2011, 8(4): 1112-1122.

Please choose a citation manager

Content to export