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Anatomic-surgical study on the interparietoperitoneal space from a laparo-endoscopic perspective

, Daniel Ion, , Alexandra Bolocan, , Ruxandra Sinescu-Baltateanu · Romanian Journal of Military Medicine · 2022

The interparietoperitoneal (IPP) space, by a broad definition, is the space between the musculo-fascial walls of the abdomen and the parietal peritoneum. A review of the literature on this subject has been performed through a search in the databases according to the following keywords: Bogros space, Retzius space, preperitoneal approach, and urogenital fascia. We have also analyzed the video recordings of the dissections of the inguinopreperitoneal region during TAPP, conducted by a single team, evaluating the dissection planes in the two compartments (medial and lateral) of the IPPS. Based on the latest data from the literature, as well as on our own experience in laparo-endoscopic herniation surgery, we aim to provide answers to several questions. IPPS from the inguinal region is an area as complex as it is narrow, but of great current surgical interest (approaches of hernias, vessels, prostate). The fascial distribution has its origin in the embryological development of the urogenital apparatus. The basic fascial structure in understanding IPPS compartmentalization is the UGF, along with its extensions.

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