Surgical Anatomy

Question 1

Sacral promontory significance

Answer 1

Common iliac vessels bifurcate into the internal ad external iliac vessels
The ureter crosses over from the lateral to the medial side at this level I’ve the bifurcation of the iliac vessels
Superior hypogastric nerve plexus unites to form the left and right hypogastric nerves
Initiation point for trans peritoneal para-aortic LN dissection

Question 2

Anterior division of the internal iliac artery traverses parallel to what

Answer 2

Ureter

Question 3

Uterine artery course

Answer 3

First branch from anterior division of internal iliac
Crosses over ureter horizontally and anteriorly then
Divides into descending and ascending cervical branches before
Piercing the uterus

Question 4

Sympathetic nerves of pelvis

Answer 4

Inferior hypogastric nerve

(T10-L2

Question 5

Parasympathetic nerve supply to pelvis

Answer 5

Pelvic splanchnic nerve (S2-S4)