Other Known Aliases – Renal fascia
Definition – Connective tissue layers covering the kidneys and adrenal glands
Clinical Significance – This connective tissue encapsulates these organs and must be excised to perform nephrectomies and adrenalectomies. It has 4 attachments:
- Anterior attachment – Connects the anterior layer of the renal fascia of the opposite kidney.
- Posterior attachment – Connects the psoas fascia and the body of the vertebrae.
- Superior attachment – The anterior and posterior layers fuse at the upper pole of the kidney and then split to enclose the adrenal gland. At the upper part of the adrenal gland they again fuse to form the suspensory ligament of the adrenal gland and fuse with the diaphragmatic fascia.
- Inferior attachment – The posterior layer descends downwards and fuses with the iliac fascia. The anterior layer blends with the connective tissue of the iliac fossa.
History – Named after Dimitrie D. Gerota (1867-1939), who was a Romanian physician and professor of surgical anatomy and experimental surgery at the University of Bucharest. He was also the first radiologist in Romania and developed a method for injecting lymphatic vessels known as “The Gerota Method”
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