GYN Ligaments Flashcards
What are the 6 ligaments?
Broad, round. uterosacral, cardinal, infundibulum, and ovarian
Broad Ligaments
- _____(right and left)
- Are _____ folds of peritoneum membranes meshed together, not true ligaments
- Extend from the lateral aspect of the _____ to the lateral _____ side walls to provide bilateral _____ support for the uterus
- Divides pelvic cavity into _____ and _____ portions
- Contains UT _____, _____, _____ ligament, _____ ligaments
- contains the _____ tubes
- not usually seen on US; only in the presence of free _____ fluid (ascites) or when the UT is retroverted
- The _____ tube, _____ ligament, _____ ligament, and _____ structures of the UT and OVs are positioned between the 2 layers of broad ligament
- Surrounded by fat and cellular connective tissue called the _____. The spaces within the peritoneal cavity located posterior to the broad ligaments are referred to as the _____.
paired double uterus pelvic lateral anterior posterior vessels nerves round ovarian fallopian intraperitoneal fallopian round ovarian vascular parametrium adnexa
Ligaments providing STRUCTURAL support to the UTERUS:
1) _____ ligaments
2) _____ ligaments
3) _____ ligaments
Round
uterosacral
cardinal
Round Ligaments
- Originates at the uterine _____, bilaterally
- anterior to _____ tubes
- extend anterolaterally to run beneath _____ ligament
- Occupies space between the layers of the _____ ligament
- Attaches _____ to anterior pelvic side walls, providing _____ support and maintains the forward bend of the uterine fundus
cornua fallopian ingiunal broad fundus anterior
Uterosacral Ligaments
- Supports the uterus _____
- Originate laterally at the level of the _____ os of the cervix and pass downward along the sides of the _____ extending to the third and fourth bones of the sacrum
- Helps maintain anteverted _____ position
posteriorly
internal
rectum
uterine
Cardinal Ligaments
- Lateral support for the uterus at the _____/_____
- Attaches uterus to the lateral portions of the _____ wall
- Anterior to _____
- _____ ligaments and _____ ligaments provide more rigid support for the cervix portion of the uterus
cervix vagina pelvic ureters uterosacral cardinal
2 paired ligaments supporting the ovaries; maintaining their relative positions in the adnexal regions are the _____ ligaments and the _____ ligaments
infundibulopelvic
ovarian
Infundibulopelvic Ligaments (aka: suspensory ligament of the ovary)
- Extend from the _____ and lateral aspect of each ovary to lateral pelvic walls bilaterally
- Provides a path in which OV _____/_____ course
infundibulum
vessels
nerves
Ovarian Ligaments
- Arise from uterine cornua posterior to _____ tubes and attach to medial portion of the _____, bilaterally
- Attaches _____ to uterus
fallopian
ovarian
ovary
Mesovarium Ligaments
- Lies within the peritoneal folds of the _____ ligament
- is a short, double fold of peritoneum extending from posterior aspect of the _____ ligament to the ovarium hilum
broad
broad
Other Ligaments:
Posterior Ligaments
- Posterior to _____
- Attaches uterus to _____
Anterior Ligaments
- Anterior to _____
- Attaches uterus to _____ bladder
Pubovesical Ligaments
-Extend anteriorly from the _____ neck and attach to the _____ bones
Lateral Ligaments
-Extend to fuse with the tendinous arch of the _____ internus muscles
uterus rectum uterus urinary bladder pubic obturator
Mesosalpinx
Superior margin of the broad ligament containing the _____ tube
fallopian
Pelvic Spaces
(Cul-de-sac - literally means dead end)
Anterior Cul De Sac
a.k.a. Vesicounterine Pouch area between the _____ bone and _____; usually, empty, may contain loops of SB
Posterior Cul De Sac
(a.k.a. Rectouterine Pouch, or Pouch of Douglas)
large potential space between the posterior wall of the UT (_____ area) and anterior wall of the _____
Space of Retzius
Separates the anterior bladder wall from the _____ symphysis filled with extraperitoneal fat
pubic uterus cervix rectum pubic
