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The Subperitoneal and Lower Retroperitoneal Space

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The Pelvis

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Abstract

The detection of carcinoma’s in the pelvic spaces remains difficult, in spite of modern CT and MRI techniques. These sub- and retroperitoneal spaces are treated in this chapter using two leads: blood vessels present and the testicle that uses these spaces to descent. The surprising result is that the blood vessels of the ovary determine the peritoneal fluid, which is important to let the egg survive during ovulation. The renewed attention for these blood vessels brought out the anatomical description of the subperitoneal arterial plexus of William Turner of 150 years ago.

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Literature

  1. Literature has been grouped in reference lists of several chapters in those cases where arguments are difficult to entangle or published over several articles or books. In cases of citation the article or book involved is indicated by the reference number together with a capital Arabic letter.

    Google Scholar 

  2. Smith H (1892) Subperitoneal hysterectomy. The Lancet, 20 Feb 1892

    Google Scholar 

  3. Yijang Z, Qunxi C, Weiling W (2006) Closure vs non-closure of the peritoneum at cesarean delivery. Int J Gynecol Obstetr 94:103–109

    Article  Google Scholar 

  4. Tulandi T, Al-Jaroudi D (2003) Nonclosure of peritoneum: a reappraisal. Am J Obstet Gynecol 189:609–612

    Article  PubMed  Google Scholar 

  5. Nagele F, Karas H, Spitzer D et al (1996) Closure or non-closure of the peritoneum at cesarean delivery. Am J Obstet Gynecol 174:1366–1370

    Article  CAS  PubMed  Google Scholar 

  6. Donker PJ, van der Werf-Messing BHP (1973) De vroeg diagnostiek van kwaadaardige gezwellen van de urinewegen bij volwassenen. In: Zwaveling A, Zonneveld RJ (eds) Oncologie, Handleiding voor de geneeskundige praktijk. Stafleu, Leiden.

    Google Scholar 

  7. Golimbu A, Morales P, Al-Askari S, Brown J (1979) Extended pelvic lymphadenectomy for prostatic cancer. J Urol 121:617–620

    CAS  PubMed  Google Scholar 

  8. Vugs JG (1968) Leven en werk van Niels Stensen (1638–1686) Onderzoeker van het zenuwstelsel. (the part: Het vraagstuk der lymfbanen 110–115) Universitaire Press, Leiden

    Google Scholar 

  9. Michailova KN, Usunoff KG (2006) Serosal membranes (Pleura, pericardium, peritoneum): normal structure, development and experimental pathology. Adv Anat Embryol Cell Biol 183:1–144

    Article  Google Scholar 

  10. Cecil RL, Loeb RF (1960) A textbook of medicine. Saunders and Co, Philadelphia

    Google Scholar 

  11. O’Connor AR, Coakley FV, Meng MV, Eberhardt S (2003) Imaging of retained surgical sponges in the abdomen and pelvis. AJR 180:481–489

    Article  PubMed  Google Scholar 

  12. Hricak H, Williams RD, Spring DB et al (1983) Anatomy and pathology of the male pelvis by magnetic resonance imaging. AJR 141:1101–1110

    Article  CAS  PubMed  Google Scholar 

  13. Tempany CM, McNeil BJ (2001) Advances in biomedical imaging. JAMA 285:562–567

    Article  CAS  PubMed  Google Scholar 

  14. Harisinghani MG (2003) Noninvasive detection of clinically occult lymph-node metastases in prostate cancer. N Engl J Med 348:2491–2499

    Google Scholar 

  15. Thoeny HC (2009) Combined ultrasmall supermagnetic particles of iron-oxide enhanced and diffusion weighted magnetic resonance imaging reliably detect pelvic lymph node metastases in normal sized nodes of bladder and prostate cancer patients. Eur Urol 55:761–769

    Article  PubMed  Google Scholar 

  16. Krause BJ, Souvatzoglou M, Treiber U (2011) Imaging of prostate cancer with PET\CT and radioactively labeled choline derivates. Urologic oncology: seminars and original investigations. doi:10.1016/j.urolonc.2010.08.008

  17. Bipat S, Glas AS, Slors FJM et al (2004) Rectal cancer: local staging and assessment of lymph nodes involvement with endoluminal US, CT and MR imaging- A meta analysis. Radiol 232:773–783; Williams AD, Corisins C, Soutter WP et al (2001) Detection of lymph node metastases in gynecologic malignancy: a comparison of CT, MR imaging, and Positron emission tomography. AJR 177:343–348; Sironi S, Buda A, Picchio M et al (2006) Lymph node metastasis in patients with clinical early-stage cervical cancer.Radiol 238:272–279; De Jong IJ, Pruim J, Elsinga PH et al (2003) Preoperative staging of pelvic lymph nodes in prostate cancer by 11C-choline PET. J Nucl Med 44:331–335; Reinhardt MJ,Ehritt-Braun C, Vogelgesang D et al (2001) Metastatic lymph nodes in patients with cervical cancer: detection with MR imaging and FDG PET Radiol 218:776–782; Vercelli M, Quaglia A, Marani E (2000) Prostate cancer incidence and mortality trends among elderly and adult Europeans. Crit Rev Oncol Hematol 35:133–144

    Google Scholar 

  18. Briganti A, Blute ML, Eastharn JH et al (2009) Pelvic lymph node dissection in prostate cancer. Eur Urol 55:1251–1265, and Briganti A, Capitanio U, Chun FK-H (2008) Impact of surgical volume on the rate of lymph node metastases in patients undergoing radical prostatectomy and extended pelvic lymph node dissection for clinically localized prostate cancer. Eur Urol 54:794–805. See also letters to the editors in Eur Urol 55:2009;

    Google Scholar 

  19. Cai T, Bartolleti R (2008) e32–e33 and e34–e35. 54(2008):955–956

    Google Scholar 

  20. http://www.acrin.org/researchers/aboutacrin/acrinhistoryand/researchers/conductingresearch/scicommitteeand/scientificplan. Last visited 08 2011

  21. Mitchell DG, Snyder B, Coakley F et al (2006) Early invasive cervical cancer: tumor delineation by magnetic resonance imaging, computed tomography and clinical examination, verified by pathologic results in the AGRIN 6651/GOG183 intergroup study. J Clin Oncol 24:5687–5694

    Article  PubMed  Google Scholar 

  22. Hricak H, Gatsonis C, Chi DS et al (2007) Early invasive cervical cancer: CT and MRI imaging in preoperative evaluation—AGRIN/GOG comparative study of diagnostic performance and interobserver variability. Radiol 245:491–498

    Article  Google Scholar 

  23. Mitchell DG, Snyder B, Coakeley F et al (2009) Early invasive cervical cancer: MRI and CT predictors of lymphatic metastases in the ACRIN 6651/GOG183 intergroup study. Gynecol Oncol 112:95–103

    Article  PubMed Central  PubMed  Google Scholar 

  24. Tiguert R, Gheiler EL, Tefilli MV et al (1999) Lymph node size does not correlate with the presence of prostate cancer metastasis. Urology 53:367–372

    Article  CAS  PubMed  Google Scholar 

  25. Lebodia A, Makarewicz R, Zyromska A, Symanski M, Sokolska E (2009) Measurement of tumor volume by MRI to evaluate risks of pelvic nodal metastases in early cervical carcinoma patients. Rep Pract Oncol Radiotherap 14:146–150

    Article  Google Scholar 

  26. Sabin FR (1902) On the origin of the lymphatic system from the veins, and the development of the lymph hearts and thoracic duct in the pig. Am J Anat 1:367–389

    Article  Google Scholar 

  27. Oliver G (2004) Lymphatic vascular development. Nat Rev Immunol 4: 35–45

    Google Scholar 

  28. Quéré I, Coupé M, Soulier-Sotto V, Evrard-Bras M, Laroch JP, Janbon C (2002) La génétique du lyphodème: de la maladie de Milroy aux applications en cancérologie. Rev Med Interne 23:379–387, and Schulte-Merker S, Sabine A, Petrova TV (2011) Lymphatic vascular morphogenesis in development, physiology, and disease. J Cell Biol 193: 607–618

    Google Scholar 

  29. Prpić I (1964) Sever elephantiasis of penis and scrotum. Br J Plast Surg 19:173–178

    Article  Google Scholar 

  30. Masia D-R, Castus P, Delia G, Casoli V, Martine D (2008) A case of iatrogenic scrotal elephantiasis: reconstruction of the scrotal purse and the cutaneous sleeve of the penis with local skin flaps. Ann Chir Last Esth 53:79–83

    Article  Google Scholar 

  31. Abu-Rustum NR, Alektiar K, Lasonos A et al (2006) The incidence of symptomatic lower extremity lymphedema following treatment of uterine corpus malignancies: a 12 year experience at Memorial Sloan-Kettering cancer center. Gynec Oncol 103:714–718, and Fujiwara K et al (2003) Effect of simple omentoplasty and omentopexy in the prevention of complications after pelvic lymphadenectomy. Int J Gynec Cancer 13:61–66; Benoit L, Boichot C, Cheynel N et al (2005) Preventing lymphedema and morbidity with an omentum flap after ilioinguinal lymph node dissection. Ann Surg Oncol 12:793–799

    Google Scholar 

  32. Pick J (1970) The autonomic nervous system. Lippincot Co, Philadelphia; Leriche R (1913) De l’élongation et de la selection des nerfs pèivasculaires dans certains syndromes douloureux d’origine artérielle et dans quelques troubles trophiques. Lyon chir 10:378–384, and Leriche R, Fontaine R (1933) Techniques des diverses sympathectomies lombaires. Presse med 92:1819–1845; Houlden H, Smith S, de Carvalho M et al (2002) Clinical and genetic characterization of families with triple A (Allgrove) syndrome. Brain 125:2681–2690

    Google Scholar 

  33. Hiemstra HR (1963) Lumbale sympathectomie by perifeer oblitererend arterieel vaatlijden. University Leiden, Thesis

    Google Scholar 

  34. Fulton RL, Blakeley WR (1968) Lumbar sympathectomy: a procedure of questionable value in the treatment of atherosclerosis obliterans of the legs. Am J Surg 116:735–744

    Article  CAS  PubMed  Google Scholar 

  35. Cotton LT, Cross FW (1985) Lumbar sympathectomy for arterial disease. Br J Surg 72:678–683

    Article  CAS  PubMed  Google Scholar 

  36. Holiday FAC, Barendregt WB, Slappendel R et al (1999) Lumbar sympathectomy in critical limb ischeamia: surgical, chemical, or not at all? Cardiovasc Surg 7:200–202

    Article  CAS  PubMed  Google Scholar 

  37. Nesargikar PN, Ajit MK, Eyers PS, Nichols BJ, Chester JF (2009) Lumbar chemical sympathectomy in vascular disease: does it still have a role? Int J Surg 7:145–149

    Article  PubMed  Google Scholar 

  38. Jani K (2009) Retroperitoneoscopic lumbar sympathectomy for plantar hyperhidrosis. J Am Coll Surg 209:e12–e15, see also Weiss D, Tseng T, Stoller M (2010) Transperitoneal laparoscopic bilateral lumbar sympathectomy: a treatment option for plantar and genital hyperhidrosis. J Urol 183:e127–e128

    Google Scholar 

  39. Velde van der J (1999) A psychophysiological investigation of the pelvic floor. The mechanism of vaginismus. Thesis University Amsterdam

    Google Scholar 

  40. Baessler K, Schüssler B, Burgio KL et al (2008) Pelvic floor re-education. Springer, London

    Book  Google Scholar 

  41. Gibbins I (2010) Peripheral autonomic pathways. Ch 6. In: Paxinos G, Mai JK (eds) The human nervous system, 3rd edn. Elsevier Ac Press, Amsterdam

    Google Scholar 

  42. Axelrod FB, Chelimsky CG, Weese-Mayer DE (2006) Pediatric autonomic disorders. Pediatrics 118:309–321, and 37A: Mathias CJ (2003) Autonomic diseases: clinical features and laboratory evaluation. J Neurol Neurosurg Psych 74(2003):31–41

    Google Scholar 

  43. Antao B, Rowlands TE, Singh NP, McCleary AJ (2003) Pelviureteric junction disruption as a complication of chemical lumbar sympathectomy. Cardiovas Surg 11:42–44, and Selzman AA, Spirnak PJ (1996) Iatrogenic ureteral injuries: a 20 years experience in treating 165 injuries. J Urol 155:878–881

    Google Scholar 

  44. Moffat DB (1993) Lecture notes on anatomy, 2edn. Blackwell Sci Publ. London

    Google Scholar 

  45. Skrepetis K, Antoniou N (2001) John Hunter (1728–1793) founder of scientific urology and pioneer in the field of urogenital surgery. De Historia Urologiae Europaeae 8:125–135

    Google Scholar 

  46. Barteczko KJ, Jacob MI (2000) The testicular descent in human. Adv Anat Embryol Cell Biol 156:1–98

    Article  Google Scholar 

  47. Hutson JM, Hasthorpe S (2005) Testicular descent and cryptorchidism: the state of the art in 2004. J Pediat Surg 40:397–302, for rhythmic contractions of the gubernaculum see also Park W-H, Hutson JM (1991) The gubernaculums shows rhythmic contractility and active movement during testicular descent. J Pediatr Surg 26:615–617

    Google Scholar 

  48. Meij-de Vries A, Hack WWM, Heij HA, Meijer RW (2010) Perioperative surgical findings in congenital and acquired undescended testis. J Pediat Surg 45:1874–1881; see also Kim K, Jung H (2006) Descent of the testes and insertion of the gubernaculum: optimal time for correction of cryptorchid testes. Urology 68, Suppl 5A, 19

    Google Scholar 

  49. Auger J (2011) Les différentes anomalies de la reproduction masculine sont-elles en augmentation? Faits et controverses, possibles facteurs en cause: une analyse actualisèe des donnèes de la literature et des registres. Andrologie 21:7–23

    Article  Google Scholar 

  50. Nriagu JO (1983) Saturnine gout among roman aristocrats. Did lead poisoning contribute to the fall of the Empire? N Engl J Med 308:660–663

    Article  CAS  PubMed  Google Scholar 

  51. Nef S, Prada L (1999) cryptorchidism in mice mutant from INSL3. Nat Genet 22:295–299, and Emmen JMA, McLuskey A, Adham JM et al (2000) Hormonal control of gubernaculum development during testis descent: gubernaculum outgrowth in vitro requires both insulin like factor and androgen. Endocrinol 141:4720–4727

    Google Scholar 

  52. Nightingale SS, Western P, Hutson JM (2008) The migrating gubernaculums grows like a limb bud. J Pediatr Surg 43:387–390

    Article  PubMed  Google Scholar 

  53. Balic A, Nation T, Buraundi S, Farmer P, Newgreen D, Southwell B, Hutson J (2010) Hidden in plain sight: the mammary line in males may be the missing link regulating inguinoscrotal testicular descent. J Pediatr Surg 45:414–418

    Article  PubMed  Google Scholar 

  54. Allnutt B, Buraundi S, Farmer P, Southwell BR, Hutson JM, Balic A (2011) The common fetal development of the mammary fat pad and gubernaculums. J Pediatr Surg 46:378–383, and the review Hutson JM, Balic A, Nation T, Southwell B (2010) Cryptorchidism. Sem Pediatr Surg 19:215–224

    Google Scholar 

  55. Han W-K, Kim JH, Hong CH, Han SW (2004) Structural evidence against hormonal therapy for cryptorchid testes: abnormal gubernacular attachment. J Urol 171:2427–2429

    Google Scholar 

  56. Albrecht K, Schultheiss D (2001) Maldescensus testis—The history of operative treatment. De Historiae Urologiae Europaeae 8:95–108

    Google Scholar 

  57. Heyns CF, Hutson JM (1995) Historical review of theories on testicular descent. J Urol 153:754–767, and Tackett LD, Patel SR, Caldamone AA (2007) A history of cryptorchidism: Lessons from the eighteenth century. J Pediatr Urol 3:426–432; Meyer T, Höcht B (2003) Historical development of the surgical treatment of the undescended testicle. Zentralbl Chir 128:537–542

    Google Scholar 

  58. Schultheiss D, Denil J, Jonas U (1999) Androgen therapy and rejuvenation in the early 20th century. De Historia Urologiae Europaea 6:143–157

    Google Scholar 

  59. Thonneau P, D’Isle B (1990) Does vasectomy have long-term effects on somatic and psychological health status. Int J Androl 13:419–432; McDonald SW (1997) Is vasectomy harmful to health. Br J Gen Pract 47:381–386; Francis H, Kovacs GT (1983) A comprehensive review of the sequelae of male sterilization. Contraception 28:455–473

    Google Scholar 

  60. Naz RK, Rowan S (2009) Update on male contraception. Curr Opin Ostet Gynecol 21:265–269

    Article  Google Scholar 

  61. Maathuis JB (1977) Studies on cyclic changes in the human female genital tract. Thesis Leiden University, The Netherlands, and Maathuis JB, Houx PCW, Bastiaans LA, Mastboom JL (1973) Some properties of peritoneal fluid obtained by laparoscopy from fertile and infertile women. J Reprod Fert 35:630–632; Maathuis JB, Van Look PFA, Michie EA (1978) Changes in volume, total protein and ovarian steroid concentrations of peritoneal fluid throughout the human menstrual cycle. J Endocrinol 76:123–133

    Google Scholar 

  62. Koninckx PR, Renaer M, Brosens JA (1980) Origin of peritoneal fluid in women: an ovarian exudation product. BJOG 87:177–183

    Google Scholar 

  63. Bouckaert PXJM, Evers JLH, Doesburg WH et al (1986) Patterns of changes in proteins in peritoneal fluid in women during the preovulatory phase of the mestrual cycle. J Repod Fert 77:329–336

    Article  CAS  Google Scholar 

  64. Bedaiwy MA, Falcone T (2003) Peritoneal fluid environment in endometriosis: Clinicopathological implications. Minerva Gynecol 55:333–345 and Augoulea A, Mastorakos G, Lambrinoudaki J, Christodoulakos G, Creatsas G (2009) The role of oxidative stress in the endometriosis-related infertility. Gynecol Endocrin 25:75–81

    Google Scholar 

  65. Kamina P (1995) Petit basin et périnée. Organes génitaux. Tome 2, Maloine, Paris

    Google Scholar 

  66. Goynummer G, Kayabasoglu F, Aydogdu S, Wetherilt I (2009) The effect of tubal sterilization through electrocoagulation on the ovarian reserve. Contraception 80:90–94; Revel A, Abramov Y, Yagel S, Nadjari M (2004) Utero-ovarian morphology and blood flow after ligation by the Pomeroy technique. Contraception 69:151–156

    Google Scholar 

  67. MacKenzie IZ, Thompson W, Roseman F, Turner E, Guillebaud J (2010) A prospective cohort study of menstrual symptoms and morbidity over 15 years following laparoscopic Filshie clip sterilization. Maturitas 65:372–377

    Article  CAS  PubMed  Google Scholar 

  68. Ruifang W, Zhenhai W, Lichang L, Fenger Z, Xinglin G (1996) Relationship between prostaglandin in peritoneal fluid and pelvic venous congestion after sterilization. Prostaglandins 51:161–167

    Article  CAS  PubMed  Google Scholar 

  69. Rosenblatt KA, Thomas PB (1995) Reduced risk of ovarian cancer in women with tubal ligation or hysterectomy. WHO collaborative study of neoplasia and steroid contraceptives. Cancer Epidemol Biomark Prevent 5:933–935, and Miracle-McMahill HL, Calle EE, Kosinski AS et al (1997) Tubal ligation and fatal ovarian cancer in a large prospective cohort study. Am J Epidemol 145:349–357

    Google Scholar 

  70. Templeton AA, Cole S (1982) Hysterectomy following sterilization. Br J Obstertr Gynaecol 89:845–848, and Kjer JJ, Knudsen L (1990) Hysterectomy consequent to laparoscopic sterilization. Eur J Obstetr Gynecol Repr Biol 35:63–68

    Google Scholar 

  71. Shoja MM et al (2010) The sub-peritoneal plexus of William Turner. Ann Anat 192:194–198

    Article  PubMed  Google Scholar 

  72. Al-Jundi W, Durham-Hall A, Oakly E, Beard J (2010) Intraoperative buttock ischemia with postoperative necrosis following infrainguinal bypass surgery. EJVES Extra 19:e13–e15

    Article  Google Scholar 

  73. Paumier A et al (2010) Functional outcome of hypogastric revascularization for the prevention of buttock claudication in patients with peripheral arterial occlusion disease. EJVES 39:323–329

    CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Biomedical Signals and Systems, EWI, MIRA, University Twente, Building Zuidhorst, Enschede, The Netherlands

    Enrico Marani

  2. Medisch Centrum Alkmaar Polikliniek Urologie, Alkmaar, The Netherlands

    Wijnand F.R.M. Koch

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  1. Enrico Marani
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Correspondence to Enrico Marani .

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Marani, E., Koch, W.F. (2014). The Subperitoneal and Lower Retroperitoneal Space. In: The Pelvis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-40006-3_10

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