Pelvic anatomy Flashcards
where does the ovarian artery come from?
the abdominal aorta
where do the ovaries drain to?
the vena cava on the patient right, but to the renal vein on the patient’s left.
What vessels do the suspensatory ligament of the ovary contain? what is the other job of the ligametn
the ovarian artery and vein
what is ovarian torsion?
when the suspensatory ligament becomes twisted and the blood supply becomes constricted
what is one cause of ovarian torsion
ovarian cysts.
where does the vascular supply of the uterus come from?
the internal iliac arteries branch to the uterine arteries
Postpartum hemorrhage definition
500cc after Vaginal delivery
1000cc after C-section
FYI this is a big deal in a non-postpartum person
what is the first line and a non-surgical method to control postpartum bleeding?
uterine massage.
what medical interventions are there for postpartum hemorrhage?
oxytocin/pitocin
methergen
hemabate
what is the last non-medical treatment for postpartum hemorrhage
balloon tampenade
essentially a catheter in the uterus.
what are the surgical interventions for postpartum hemorrhage?
1) ligation of uterine artery if still bleeding 2) ligation of the internal iliac (this is last line ligation) 3) hysterectomy Always try to spare as much as possible
where does venous drainage run for the uterus
through the uterosacral ligament
what does the cardinal ligament do
keeps the uterus in place side to side and front to back. connects to the pelvic side wall
what is often confused for the uterosacral ligament
the ureters
what happens when you weaken the cardinal ligament
you cause pelvic floor relaxation.
