ligaments of female repro Flashcards

1
Q

3 categories of ligaments

A

broad
uterine
ovarian

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2
Q

broad ligament

A

sheet of peritoneum, associated with both uterus and ovaries

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3
Q

uterine ligaments

A

ligaments primarily associated with uterus

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4
Q

ovarian ligaments

A

ligaments primarily associated with ovaries

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5
Q

function of ligaments

A

support the female viscera and provide a conduit for neurovascular structures

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6
Q

3 regions of broad ligament

A

mesometrium
mesovarium
mesosalpinx

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7
Q

mesometrium (broad)

A

surrounds uterus
largest subsection
runs laterally to cover external iliac vessels - forms distinct fold over them
encloses proximal part of round ligament of uterus

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8
Q

mesovarium (broad)

A

part associated with ovaries
projects from posterior surface of broad and attaches to hilum of ovary, enclosing neurovascular supply
does not cover ovarian surface itself

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9
Q

mesosalpinx (broad)

A

originated superiorly to mesovarium, enclosing fallopian tubes

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10
Q

which organs is broad attached to

A

uterus
fallopian tubes
ovaries

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11
Q

which vessels are contained within broad ligament (which supply uterus, fallopian tubes and ovaries)

A

ovarian and uterine arteries

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12
Q

what 3 other ligaments are located within the broad ligament

A

ovarian ligament
round ligament of uterus
suspensory ligament of ovary (aka infundibulopelvic ligament)

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13
Q

how is ovarian ligament attached to ovary

A

inferiorly

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14
Q

what 2 structures does it connect and how

A

ovary to side of uterus

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15
Q

explain ovarian ligament structure

A

fibrous band of tissue that lies within the broad ligament. joins uterus just below origin of fallopian tubes

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16
Q

where does suspensory ligament of ovary extend

A

outwards from ovary to lateral abdominal wall

17
Q

structure of suspensory ligament of ovary

A

consists of fold of peritoneum
some consider it part of broad

18
Q

function of suspensory LOO

A

contain ovarian vessels and nerves

ovarian artery
ovarian vein
ovarian nerve plexus
lymphatic vessels

19
Q

superior aspect of uterus supported by what

A

broad and round ligaments

20
Q

middle aspect of uterus supported by what

A

cardinal, pubocervical and uterosacral ligaments

21
Q

inferior aspect of uterus supported by what

A

structures in pelvic floor - levator ani, perineal membrane and perineal body

22
Q

what is round ligament remnant of

A

embryonic gubernaculum

23
Q

where does round ligament originate

A

uterine horns (points at which fallopian tubes enter uterus)

24
Q

where does round ligament attach

A

labia majora, passing through inguinal canal

25
Q

why can round ligament be source of pain in pregnancy

A

due to increased force placed on ligament by extending uterus

26
Q

cardinal ligaments aka?

A

lateral, transverse cervical or Mackenrodt’s ligaments

27
Q

where are cardinal ligaments situated

A

along inferior border of broad ligament

28
Q

what do cardinal ligaments house

A

uterine artery and uterine veins

29
Q

origin and attachment of cardinal ligaments

A

arise from side of cervix and lateral fornix of vagina
provide extensive attachment on lateral pelvic wall at the level of the ischial spine

30
Q

why would cardinal ligaments be removed during a hysterectomy due to a malignancy

A

common reservoir of cancerous cells

31
Q

what are pubocervical ligaments

A

bilateral structures which attach cervix to posterior surface of pubic symphysis

32
Q

function of pubocervical ligaments

A

support uterus within pelvic cavity

33
Q

what are uterosacral ligaments

A

bilateral fibrous bands, which attach cervix to sacrum

34
Q

uterosacral ligaments aka?

A

recto-uterine or sacrocervical

35
Q

function of uterosacral ligaments?

A

supports and holds uterus in place

36
Q

salpinx means

A

fallopian tube

37
Q
A