Female Internal Viscera Flashcards
Ovary
* Located:
- Located: near
attachment of broad
ligament to lateral
pelvic wall in true pelvis
What is the ovary suspended by? (3)
- Broad ligament –
mesovarium - Suspensory ligament of
ovaries - Ligament of the ovary –
attach to uterus (runs
within mesovarium)
What are the uterine tubes?
- Fallopian tubes
Uterine tubes:
* Extends…
* Conduct
- Extends laterally within broad lig.: uterine horns & open into peritoneal cavity near ovaries
- Conduct oocyte from ovary to uterine cavity
- Divide into 4 parts:
Uterine tubes
Blood supply:
- Uterine arteries (IIA)
Uterine tubes
* Venous drainage:
- Uterine veins
Ovary
* Blood supply:
- Ovarian arteries (AA)
Ovary
* Venous drainage:
- Pampiniform plexus merge
to form ovarian vein - IVC and renal vein
Where does the Uterus lie? (3)
- Lie btw layers of broad
ligament - Body (sup. 2/3)
- Fundus of uterus (rounded
sup. part)
Uterus
* Fundus of uterus (rounded
sup. part)
* Sup:
* Demarcated from cervix:
- Sup: uterine tubes
- Demarcated from cervix:
isthmus of uterus
Cervix (inf. 1/3)
* Cylindrical & narrow
* 2 parts:
supra-vaginal & vaginal
- Supra-vaginal part
- Btw isthmus & vagina
- Internal os
- Anteriorly:
- Posteriorly:
- Anteriorly: separated from
bladder - Posteriorly: separated from
rectum
- Vaginal part
- Protrudes into vagina
- Surrounds ____ ___ of
uterus - Surrounded by vaginal _____
external os
fornix
What are the ligaments of the uterus? (5)
- Ligament of the ovary
- Round ligament of the
uterus - Transverse cervical
ligament - Uterosacral ligament
- Broad ligament of the
uterus
Uterus
* Ligament of the ovary
- _______ to utero-
tubal junction
Posteroinferior
Uterus
* Round ligament of the
uterus
- ______ to utero-
tubal junction
Anteroinferior
- Broad ligament of the
uterus - 2x layer peritoneum:
extend from sides of
uterus – lateral walls &
pelvic floor
- Broad ligament of the
uterus
Assist:
position of uterus
- Broad ligament of the
uterus - Laterally:
peritoneum of broad ligament lies over
vessels: suspensory
ligament of ovaries
Position of uterus
* Normal Position of Uterus:
- Anteflexed and anteverted
Position of uterus
- Positions of fundus
* Retroversion:
* Anteversion:
- Fundus points posterior against rectum
- Fundus tipped forward
- Position of body
- Retroflexed
- Uterus tipped backwards
- Position of body
- Anteflexed
- Body is bent sharply forward
- Position of body
- Retrocession
- ‘Recede’
Uterus relations
* Anterior:
- Anterior: vesicouterine
pouch, superior surface of
bladder
Uterus relations
* Lateral:
- Lateral: broad ligament of
uterus, transverse cervical
ligaments, ureters
(supravaginal part of cervix)
Uterus relations
* Posterior:
- Posterior: rectouterine
pouch, rectum
Uterus
Supporting structures
Ligaments =
- Lateral: broad ligament of
uterus, transverse cervical
ligaments, ureters
(supravaginal part of cervix)
Uterus
Diaphragms associated: (2)
- Pelvic diaphragm
- Urogenital diaphragm
Uterus
* _______ organs
Surrounding
Uterus
* Blood supply:
- Uterine arteries
Uterus
* Venous drainage: (2)
- Uterine veins form plexus
- Drains into int. iliac veins
Vagina
* Musculomembranous tube: (3)
- cervix of uterus →
- Form 90° angle with ______
- Pierces ______ _______
- cervix of uterus → vestibule
- Form 90° angle with uterus
- Pierces urogenital diaphragm
- Vaginal fornix
- Anterior, laterals and posterior
- Posterior:
deepest, closely related to rectouterine pouch
Vagina
* 4 muscles compress vagina (act as sphincters) :
- Pubovaginalis
- External urethral sphincter
- Urethrovaginal sphincter
- Bulbospongiosus
Vagina
* Blood supply: (2)
- Uterine & vaginal arteries
(superior) - Internal pudendal arteries
(inferior)
Vagina
* Venous drainage:
- Vaginal veins – vaginal
venous plexus continuous
with uterine venous plexus
(→ internal iliac veins)
Vagina & uterus
* Inferior 1/5 – somatic innervation:
- Deep perineal nerve (B: pudendal)
Vagina & uterus
* Rest of vagina & uterus – visceral:
- Uterovaginal nerve plexus
Vagina & uterus
* Sympathetic innervation:
- Inferior thoracic → lumbar
splanchnic nerves
Vagina & uterus
* Parasympathetic innervation
* S__-S__ nerves → pelvic splanchnic nerves
S2-S4
Ovaries & uterine tubes
* Ovarian plexus & partly uterine _____.
Plexus
