210 likes | 394 Views
The Female Genital Organs An Overview. Per Brodal Institutt for medisinske basalfag Universitetet i Oslo. 9th Semester 2008. Ovary. Tuba uterina (Fallopian tube, oviduct, salpinx). Vagina. Overview. Uterus. Vulva = External genitalia. Lig. ovarii proprium. Relations.
E N D
TheFemale Genital OrgansAn Overview Per Brodal Institutt for medisinske basalfag Universitetet i Oslo 9th Semester 2008
Ovary Tuba uterina (Fallopian tube, oviduct, salpinx) Vagina Overview Uterus Vulva = External genitalia P. Brodal 2008
Lig. ovarii proprium Relations Suspensory ligament of the ovary Tuba uterina The ovary Lig. teres uteri Ureter Uterus Bladder Rectum Vagina Urethra Urogenital diaphragm Thieme Atlas of Anatomy, 2006 P. Brodal 2008
Peritoneum Covers the Pelvic Organs Peritoneum Excavatio rectouterina (Fossa Douglasi) Fornix posterior (vaginae) P. Brodal 2008
Angles and Positions of the Uterus Anteversion Anteflexion P. Brodal 2008
Positions and Ligaments of the Ovary and the Uterus A. Iliaca communis Ureter Lig. Suspensorium ovarii Fundus uteri A. obturatoria Ovary Lig. ovarii proprium Lig. teres uteri Tuba uterina Thieme Atlas of Anatomy, 2006 P. Brodal 2008
Tuba Ovary Lig. latum The Ligamentum Latum is a Fold of the Peritoneum Tuba uterina Uterus Ovary Ligamentum latum P. Brodal 2008
Some more Terms… Perimetrium Endometrium Myometrium Parametrium Levator ani muscle Ischioanal fossa P. Brodal 2008
Relations in theParametrium Uterine artery Ureter Venous plexus and nerve plexus Sobotta P. Brodal 2008
The Uterus Fundus Cavum uteri Corpus uteri Isthmus Internal os Cervix uteri Canalis cervicis Fornix vaginae Portio vaginalis External os P. Brodal 2008
Portio Changes after Giving Birth External os Nullipara Multipara P. Brodal 2008
Lower Uterine Segment Late pregnancy Late labor Obstructed labor Llewellyn-Jones P. Brodal 2008
9 10 6 2 5 9 Days after delivery Months of pregnancy Uterus in Pregnancy and afterDelivery Uterus in the opening period Benninghoff/Goerttler P. Brodal 2008
The Ovary and the Fallopian Tube Ampulla Isthmus Infundibulum Fimbriae P. Brodal 2008
Fixationofthe Uterus But: Dynamicmuscular support is absolutelynecessary to preventdescentofthe uterus! Condensations of the pelvic fasciae (”ligaments”) Sacrouterine ligament Cardinal ligament P. Brodal 2008
Fixation cont’d P. Brodal 2008
Perineal Region The urogenital region The perineum The anal region P. Brodal 2008
Vulva Glans clitoris Labia minora Urethral opening Labia majora Bulbospongiosus muscle Vestibulum Bulbus vestibuli Glandula vestibularis major (Bartholini) Thieme: Atlas of Anatomy P. Brodal 2008
ExaminationoftheBartholini’s Gland Abscess of the left Bartholini’s gland Hamilton Bailey’s: Demonstration of physical signs in clinical surgery 1967 P. Brodal 2008
Bloodsupply Extensive venous plexuses Ovarian artery Uterin artery External genitals: mainly from internalpudendalartery P. Brodal 2008
LymphaticDrainage from theFemale Genital Organs Vulva: to external inguinal lymph nodes (exception: anterior part of clitoris) Thieme, Atlas of Anatomy P. Brodal 2008