Renal fascia in normal and ectopic pelvic kidneys: Evidence-based clinical and anatomical review

The natural location of the kidney is the loin and the fascial sheaths around it gives it inherent protection against trauma and various other diseases. While there is enough evidence for fascia around well ascended normally located kidneys, there is very little evidence for its presence in ectopic...

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Autores principales:	Kalpana Ramachandran, Sriram Krishnamoorthy
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer Medknow Publications 2021
Materias:	hydronephrosis kidney nephrectomy perinephric space perirenal fascia Human anatomy QM1-695
Acceso en línea:	https://doaj.org/article/7b39afa80b1540d382e132f17a96d2da
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spelling	oai:doaj.org-article:7b39afa80b1540d382e132f17a96d2da2021-11-12T10:25:52ZRenal fascia in normal and ectopic pelvic kidneys: Evidence-based clinical and anatomical review2277-40252321-278010.4103/NJCA.NJCA_46_21https://doaj.org/article/7b39afa80b1540d382e132f17a96d2da2021-01-01T00:00:00Zhttp://www.njca.info/article.asp?issn=2277-4025;year=2021;volume=10;issue=4;spage=240;epage=245;aulast=Ramachandranhttps://doaj.org/toc/2277-4025https://doaj.org/toc/2321-2780The natural location of the kidney is the loin and the fascial sheaths around it gives it inherent protection against trauma and various other diseases. While there is enough evidence for fascia around well ascended normally located kidneys, there is very little evidence for its presence in ectopic pelvic kidneys. This evidence-based review discusses the recent changes in concepts regarding renal and perirenal fascia in normal and ectopic kidneys. The perirenal fascia was described as anterior and posterior layers that fuse laterally to form the lateral conal fascia. However, subsequent studies have shown that these fasciae are multi-laminated structures that blend and fuse with underlying muscles. However, in pelvic kidneys, the anterior and posterior renal fascia is not so well-documented. The medial extension of the enlarged kidney enables an easy cross-over to the opposite side. A subcapsular urinoma or a perirenal hematoma is usually self-contained in a closed space, owing to the attachments of the renal capsule and the perirenal fasciae. The hematoma in such closed space acts as a self-tamponade, preventing further blood loss or hemodynamic instability. Computed tomography has enhanced the understanding of perirenal space and pathologies. Tri-compartmental theory formed the basis for a clear understanding of these fasciae. A better knowledge of these fascial planes helps the surgeons to identify the avascular planes, better. A larger prospective study is needed to get further insights into renal fascia in pelvic kidneys.Kalpana RamachandranSriram KrishnamoorthyWolters Kluwer Medknow Publicationsarticlehydronephrosiskidneynephrectomyperinephric spaceperirenal fasciaHuman anatomyQM1-695ENNational Journal of Clinical Anatomy, Vol 10, Iss 4, Pp 240-245 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	hydronephrosis kidney nephrectomy perinephric space perirenal fascia Human anatomy QM1-695
spellingShingle	hydronephrosis kidney nephrectomy perinephric space perirenal fascia Human anatomy QM1-695 Kalpana Ramachandran Sriram Krishnamoorthy Renal fascia in normal and ectopic pelvic kidneys: Evidence-based clinical and anatomical review
description	The natural location of the kidney is the loin and the fascial sheaths around it gives it inherent protection against trauma and various other diseases. While there is enough evidence for fascia around well ascended normally located kidneys, there is very little evidence for its presence in ectopic pelvic kidneys. This evidence-based review discusses the recent changes in concepts regarding renal and perirenal fascia in normal and ectopic kidneys. The perirenal fascia was described as anterior and posterior layers that fuse laterally to form the lateral conal fascia. However, subsequent studies have shown that these fasciae are multi-laminated structures that blend and fuse with underlying muscles. However, in pelvic kidneys, the anterior and posterior renal fascia is not so well-documented. The medial extension of the enlarged kidney enables an easy cross-over to the opposite side. A subcapsular urinoma or a perirenal hematoma is usually self-contained in a closed space, owing to the attachments of the renal capsule and the perirenal fasciae. The hematoma in such closed space acts as a self-tamponade, preventing further blood loss or hemodynamic instability. Computed tomography has enhanced the understanding of perirenal space and pathologies. Tri-compartmental theory formed the basis for a clear understanding of these fasciae. A better knowledge of these fascial planes helps the surgeons to identify the avascular planes, better. A larger prospective study is needed to get further insights into renal fascia in pelvic kidneys.
format	article
author	Kalpana Ramachandran Sriram Krishnamoorthy
author_facet	Kalpana Ramachandran Sriram Krishnamoorthy
author_sort	Kalpana Ramachandran
title	Renal fascia in normal and ectopic pelvic kidneys: Evidence-based clinical and anatomical review
title_short	Renal fascia in normal and ectopic pelvic kidneys: Evidence-based clinical and anatomical review
title_full	Renal fascia in normal and ectopic pelvic kidneys: Evidence-based clinical and anatomical review
title_fullStr	Renal fascia in normal and ectopic pelvic kidneys: Evidence-based clinical and anatomical review
title_full_unstemmed	Renal fascia in normal and ectopic pelvic kidneys: Evidence-based clinical and anatomical review
title_sort	renal fascia in normal and ectopic pelvic kidneys: evidence-based clinical and anatomical review
publisher	Wolters Kluwer Medknow Publications
publishDate	2021
url	https://doaj.org/article/7b39afa80b1540d382e132f17a96d2da
work_keys_str_mv	AT kalpanaramachandran renalfasciainnormalandectopicpelvickidneysevidencebasedclinicalandanatomicalreview AT sriramkrishnamoorthy renalfasciainnormalandectopicpelvickidneysevidencebasedclinicalandanatomicalreview
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Renal fascia in normal and ectopic pelvic kidneys: Evidence-based clinical and anatomical review

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