Anatomy of Female Reproductive Flashcards
To check for stuff between the uterus and rectum, what is performed?
Culdocentesis (vagina, to posterior fornix, thru to rectouterine pouch of Douglas)
What does the suspensory ligament of the ovary do?
- carries ovarian artery, vein, lymphatic vessel, and nerve
- anchors ovary to PELVIC WALL
What does the ovarian ligament do?
anchors the ovary to the UTERUS
During an oophorectomy, what structure may be injured due to it running under the suspensory ligament of the ovary?
Ureter
both are retroperitoneal along posterior wall, run OVER the iliac a+v
Culdocentesis is often used for what diseases?
PID
ectopic pregnancy
Where does a Gartner’s duct cyst arise from, and where is it located in the adult?
- from mesonephrous (epoophoron)
- btw layers of BROAD ligament
What 3 structures connect to the lateral parts of the fundus of the uterus?
Fallopian tube
ligament of ovary
Round ligament of uterus
Trace the round ligament of the uterus.
lateral corner of fundus thru deep inguinal ring (close to inf epigastrics) thru inguinal canal superficial inguinal ring to labia majora
What structures are contained within the round ligament of the uterus?
none!
The ovaries are to the suspensory ligament as the uterus is to the _________ ligament
Cardinal ligament
both ligaments carry the vessels to the respective structures
The ovaries are to ovarian ligament as uterus is to ________ ligament
Round ligament
these two ligaments are pure anchors; they don’t carry vessels
During a hysterectomy, care must be taken to not damage the ureter when clamping off what?
Cardinal ligament
What does the broad ligament connect to?
links the uterus, fallopian tube, ovary, and round ligament of uterus all together and to the lateral wall of pelvis
What is the significance of the perineal body?
an area of the perineum where many muscles of the pelvic floor and deep perineal pouch converge
midline/median Episiotomy will screw everything up, so a Posterolateral one is preferred
(episiotomy: sx cut to widen vag)
The Cardinal ligament carries an arterial branch off the _________ artery
common iliac-INTERNAL ILIAC-anterior trunk-uterine artery
The ovarian veins originate where?
R: IVC
L: renal vein
Describe the lymphatic drainage of the female parts.
Ovaries, fallopian tubes, fundus: lumbar/para-aortic
Body/cervix, upper 2/3 vagina: ext/int iliac, sacral
Uterus (near round lig), lower 1/3 vagina, vulva: superficial inguinal
Perineal nerve blocks are aimed at the ischial spine so they hit the?
perineal n
down btw piriformis+sacrospinous lig, then loops back in to perineum
