Comment to: Paradigm shift regarding the transversalis fascia, preperitoneal space, and Retzius’ space (N. Asakage)

Abstract

Modern high-definition laparoscopy has often revealed new visions of the structures known for centuries, and discovery of new structures like ‘rectusial fascia’, additional morphology of the ‘preperitoneal fascia’ and multiple Retzius spaces greatly facilitated accurate and judicious dissection for seamless laparoscopic inguinal hernioplasty. Dr. N. Asakage’s presentation of inguino-pelvic fascial anatomy and its embryology [Asakage N. Paradigm shift regarding the transversalis fascia, preperitoneal space, and Retzius’ space. Hernia 2018 Feb 27. https://doi.org/10.1007/s10029-018-1746-8 (Epub ahead of print)] is excellent and fascinating, albeit with certain reservations highlighted herein.