Pelvis Flashcards
Set up for Lower anterior resection?
GA, Supine, Lower midline laparotomy
First steps in LAR?
Mobilise the bowel
Dissection and division of IMA
IMV medial to lateral dissection
In which plane would you find the superior hypogastric plexus/ presacral nerves?
Toldt’s plane
What does the superior hypogastric plexus supply?
Male- erection and ejaculation
Female- orgasm and vaginal secretion
Which is the holy plane to access the rectum?
between Mesorectal fascia and presacral fascia
What neurovascular structure lies on the sacral surface?
Medial sacral artery and veins
When the rectum is reflected forward what makes up the triangular shape seen?
Lateral peritoneal ligaments, containing middle rectal artery and parasympathetetics- giving branches to the side wall of the rectum
Which fascia overlies the seminal vesicles?
Denomviellier’s fascia
Under which fascia does the prostatic plexus condense under?
Waldeyer’s
What are the three things going into the apex off the bladder?
Ureter and superior vesicular artery and vein
What contributes sacral splanhnics to the prostate?
Sympathetic trunk and ganglion
Name the muscles of the pelvic floor?
Coccygeus
Iliococcygeus
Pubococcygeus
Puborectalis
What ligament runs superficial to coccygeus?
sacrospinous lig
What nerve supplies the pelvic floor and its origin?
Nerve to levator ani and coccygeus- S4
What nerve supplies gleuteus medius and minimus?
Superior gleuteal- L4-S1
