c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Transabdominal Hysterectomy: 4

A D V E R T I S E M E N T

   
 

The excised fibroid is shown.       

Notes:

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Transabdominal Hysterectomy: 5

A D V E R T I S E M E N T

   
 

The uterine arteries from the internal iliacs travel above the pelvic diaphragm (levators; see abdominoperineal resection), cross over the ureters, and reach the lower uterine segment on either side. After giving off vaginal branches, they ascend along the body of the uterus and at the cornua supply branches to the ovary through their suspensory ligaments. The ovaries and tubes are supplied directly by the ovarian vessels crossing the external iliac arteries distal to the crossing of the ureters.     

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Transabdominal Hysterectomy: 6

A D V E R T I S E M E N T

   
 

The uterus is attached to the pelvic floor and side walls by several ligaments. The round ligaments connects the cornua of the uterus to the inguinal canals through the deep inguinal ring. The fold of peritoneum enclosing the fallopian tube and suspending the ovary is the broad ligament. The ovarian vessels and covering peritoneum are called infundibulopelvic ligaments. A broad expansion of connective tissue, the cardinal ligament, spreads from the lower uterine segment over the pelvic floor. Thickened ridges on either side of the rectum are the uterosacral ligaments.     

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This page was last modified on 1/5/2001.