Alfonso A. Valverde-Navarro

Dr. Alfonso A. Valverde-Navarro

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Research Focus & Metrics

Academic Career Length

12Years (2015-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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1 November 2015 in Physiology & Behavior
Verified
Journal Article
Closed access
ASArantxa Blasco Serra
Arantxa Blasco Serra
FEFrancesc Escrihuela-Vidal
Francesc Escrihuela-Vidal
EGEva M. González-Soler
Eva M. González-Soler
FMFernando Martínez-Expósito
Fernando Martínez-Expósito
MBMª Carmen Blasco-Ausina
Mª Carmen Blasco-Ausina
AVAlfonso A. Valverde-Navarro
Alfonso A. Valverde-Navarro

14 March 2022 in Updates in Surgery
Verified
Journal Article
Open access
PDF file
MGMaría García-Gausí
María García-Gausí
JGJuan García-Armengol
Juan García-Armengol
Gianluca PellinoGianluca Pellino
Gianluca Pellino
CMClaudia Mulas
Claudia Mulas
JRJosé V. Roig
José V. Roig
AVAlfonso A. Valverde-Navarro
Alfonso A. Valverde-Navarro
Anterior dissection of the rectum in the male pelvis represents one of the most complex phases of total meso-rectal excision. However, the possible existence of different anatomical planes is controversial and the exact anatomical topography of Denonvilliers’ fascia is still debated. The aim of the study is to accurately define in a cadaveric simulation model the existence and boundaries of Denonvilliers’ fascia, identifying the anatomical planes suitable for surgical dissection. The pelvises of 31 formalin-preserved male cadavers were dissected. Careful and detailed dissection was carried out to visualize the anatomical structures and the potential dissection planes, simulating an anterior meso-rectum dissection. Denonvilliers’ fascia was identified in 100% of the pelvises, as a single-layer fascia that originates from the peritoneal reflection and descends until its firm adhesion to the prostate capsule. The fascia divides the space providing an anterior and a posterior plane. Anteriorly to the fascia, during the caudal dissection, its firm adhesion to the prostate capsule forces to section it sharply. The cadaveric simulation model allowed an accurate description of Denonvilliers’ fascia, defining several planes for anterior dissection of the meso-rectum.