lec 8 Flashcards
the ovarian fossa relations
posterior
anterior
superior
This fossa is bounded anteriorly by obliterated umblical ligament; posteriorly by ureter and internal iliac vessels; and superiorly by external iliac vessels
each surface of the ovary is in contact with ? medial lateral anterior border posterior border
coils of the intestine , on the right side we have vermiform appendix
ovarian fossa
hilum of the uterus , it is bounded to the broad ligament by mesovarium
directed towards the uterus , the uterine tube curves down the border
the suspensory ligament connects btw?
the tubal pole with lateral wall of pelvis
the ovarian ligament connects btw?
uterine pole of ovary to lateral margin of uterus
Through which ligament vessels and nerves enter and leave ovary?
mesovarium
blood supply (at which level) and venous drainage of ovaries
ovarian artery branch of the abdominal aorta at L2/L3 level and in some cases at the origin of renal artery
right ovarian vein –> inferior vena cava
left ovarian vein –> left renal vein
uterine tubes are situated in
upper border of the broad ligament
the uterine tube ascends along ———– and descends along ———-
anterior border
posterior border
Is the widest and longest portion of uterine tube , making about 2/3 of whole length of uterine tube
ampulla
In it fertilization of ova takes place
ampulla
Blood Supply of Uterine Tube
Ovarian artery (branch of descending abdominal aorta).
Uterine arteries (branch of internal iliac artery).
the uterine is (movement)?
freely moveable
the cervix extends from
internal os to external os
the cervix has two parts
supravaginal part
vaginal part
The supravaginal part lies between (anterior and posterior)
bladder and rectum
The peritoneum passes from anterior surface of rectum on to posterior surface of uterus, forming
rectouterine pouch (pouch of Douglas)
the peritoneum curves over fundus to reach anterior surface of uterus , where it descends as far as ———————- then it is reflected forward on to superior surface of urinary bladder, forming ———–
junction of body and cervix.
vesicouterine pouch
anterior relations of uterus (body , isthmus , cervix)
body –> separated from the superior surface of bladder by peritoneum and vesicouterine pouch
isthmus and cervix lie in direct contact with bladder
what is the effect of the direct contact btw isthmus and cervix with the bladder
allows cervical cancer to invade urinary bladder
posterior relations of uterus , cervix
body of uterus and supravaginal part of cervix are separated from rectum by pouch of Douglas containing coils of sigmoid colon
lateral relations of uterus
related to broad ligament of uterus and uterine vessels
The vaginal cervix is related laterally to
the lateral vaginal fornix
The two round ligament of uterus, each extends from
from front of uterus bellow the entrance of uterine tubes –> inguinal canal –> labia major
the round ligaments play a role in keeping the uterus in an ——————————— position
anteversion and anteflexion
the peritoneum covers which part of the uterus
anterior and posterior surfaces
The ovary is attached to posterior layer of broad ligament by
mesovarium
The part of broad ligament which extends from infundibulum of uterine tube and upper pole of ovary to lateral pelvic wall, called
suspensory ligament
The part of broad ligament forming mesentery of uterine tube is called
mesosalpinx
The major part of broad ligament serves as a mesentery for uterus
mesometrium
at base of broad ligament the uterine artery crosses ——-
ureter
structures lie between two layers of broad ligament
(1) Uterine tube.
(2) Round ligament of the ovary.
(3) Round ligament of the uterus.
(4) Uterine and ovarian blood and lymphatic vessels, and nerves.
(5) Epoophoron, which is the remains of mesonephros.
(6) The paraophoron, which is a mesonephric remnant.
anteversion of uterus means ?
long axis of uterus in most women is bent forwards on long axis of vagina
anteflexion of uterus means ?
long axis of uterus is bent forward at level of internal os.
Blood Supply of the Uterus
(1) Uterine artery (branch of internal iliac artery), which forms main arterial supply.
(2) Uterine branch of ovarian artery which assists in supplying uterus.
The uterine vein follows the artery and ends into internal iliac vein.
Lymph Drainage of Uterus
(1) Fundus portion follow ovarian artery and drain into para-aortic lymph nodes at level of L1 vertebra.
(2) Body and cervix drain into internal and external iliac lymph nodes.
Few vessels, however follow round ligament of uterus via inguinal canal and drain into superficial inguinal nodes.
