Lecture 18: Pelvis Continuation Female Flashcards
hair bearing areas of the female genitals
labia majora, mons pubis
male equivalent to the round ligament
gubernaculum
mesosalpinx of broad ligament
around fallopian tubes
mesovarium of broad ligament
around ovaries
mesometrium of broad ligament
around uterus
fallopian tube and ovary
adnexa
protrusion of bladder into the vagina, see an anterior bulge
cystocele
prolapse/procedentia of uterus and cervix
decensus of cervix and uterus
herniation of pouch of douglas between uterosacral ligament into the retrovaginal septum
enterocele
protrusion of rectum into the vagina, see a posterior bulge
rectocele
first degree of prolapse
upper vagina
second degree of prolapse
intratus of vagina
third degree of prolapse
complete
shows anatomy and fallopian tube patency
hysterosalpingogram
pregnancy not in the endometrial lining of the uterus
ectopic pregnancy
most common site of ectopic pregnancy
oviduct
where ureter is commonly injured during surgery
uretovesicular junction, junction of uterine artery and ureter, infundibulopelvic ligament
supplies transverse, descending, and sigmoid colon, rectum
IMA
from the aorta, supplies ovary and tube, unites with ascending branch of uterine artery
ovarian artery
where common iliac begins (aorta bifurcates)
L4
branches of posterior trunk of internal iliac
iliolumbar, lateral sacral, superior gluteal
branches of parietal branch of anterior trunk of internal iliac
obturator, internal pudendal, inferior gluteal
branches of visceral branch of anterior trunk of internal iliac
umbilical, middle vesical, inferior vesical, middle hemorrhoidal, uterine, vaginal
ascending portion anastamoses with ovarian artery, arcuate form spiral arteries of corpus and endometrium, descending portion supplies vagina
uterine artery
supplies vagina, bladder, rectum, forms azygos arteries of cervix and vagina
vaginal artery
supplies rectum, labia, clitoris, perineum
internal pudendal artery
only veins that don’t follow the artery
ovarian (right into IVC directly, left into left renal vein and then to IVC)
more than 500 cc blood lost during delivery, or >1000 cc lost during C section
postpartum hemorrhage
fibroids
leiomyomas
three types of fibroids
intramural, subserosal, submucosal
What’s within suspensatory ligament of ovary?
ovarian artery
