the female genital organs an overview per brodal institutt for medisinske basalfag universitetet i...
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The Female Genital OrgansThe Female Genital OrgansAn OverviewAn Overview
Per BrodalPer BrodalInstitutt for medisinske basalfagInstitutt for medisinske basalfag
Universitetet i OsloUniversitetet i Oslo
9th Semester 20089th Semester 2008
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Overview
Ovary
Tuba uterina (Fallopian tube, oviduct, salpinx)
Vagina
Vulva = External genitalia
Uterus
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Relations
The ovary
Ureter
Thieme Atlas of Anatomy, 2006
Urethra
Bladder
Tuba uterina
Vagina
Urogenital diaphragm
Lig. teres uteri
Suspensory ligament of the ovary
Rectum
Uterus
Lig. ovarii proprium
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Peritoneum Covers the Pelvic OrgansPeritoneum
Fornix posterior (vaginae)
Excavatio rectouterina (Fossa Douglasi)
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Angles and Positions of the Uterus
Anteversion
Anteflexion
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Positions and Ligaments of the Ovary and the Uterus
Lig. Suspensorium ovarii Fundus uteri
Lig. teres uteriOvary
Tuba uterinaLig. ovarii proprium
A. Iliaca communis
Ureter
A. obturatoria
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Thieme Atlas of Anatomy, 2006
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The Ligamentum Latum is a Fold of the Peritoneum
Ligamentum latumTuba
Ovary
Lig. latum
Tuba uterina
OvaryUterus
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Some more Terms…
Endometrium
Myometrium
Perimetrium
Parametrium
Ischioanal fossa
Levator ani muscle
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Relations in the Parametrium
UreterUterine artery
Venous plexus and nerve plexus
Sobotta
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The Uterus
Cavum uteri
Fundus
Cervix uteri
Canalis cervicis
Internal os
External os
Corpus uteri
Fornix vaginae
Isthmus
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Portio vaginalis
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Portio Changes after Giving Birth
Nullipara
External os
Multipara
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Lower Uterine Segment
Late pregnancy Late labor Obstructed labor
Llewellyn-Jones
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Uterus in Pregnancy and after Delivery
Months of pregnancy
6
9
10
Benninghoff/Goerttler
Uterus in the opening period
Days after delivery
2
5
9
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The Ovary and the Fallopian Tube
Infundibulum
Ampulla
Isthmus
Fimbriae
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Fixation of the Uterus
Condensations of the pelvic fasciae (”ligaments”)
But: Dynamic muscular support is absolutely necessary to prevent
descent of the uterus!
Cardinal ligament
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Sacrouterine ligament
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Fixation cont’d
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Perineal Region
The perineum
The urogenital region
The anal region
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Vulva
Vestibulum
Glans clitoris
Glandula vestibularis major (Bartholini)
Labia minora
Thieme: Atlas of Anatomy
Urethral opening
Labia majora
Bulbus vestibuli
Bulbospongiosus muscle
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Examination of the Bartholini’s Gland
19
Hamilton Bailey’s: Demonstration of physical signs in clinical surgery 1967
Abscess of the left Bartholini’s gland
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Blood supply
Ovarian artery
Uterin artery
Extensive venous plexuses
External genitals: mainly from internal pudendal artery
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Lymphatic Drainage from the Female Genital Organs
21P. Brodal 2008Thieme, Atlas of Anatomy
Vulva: to external inguinal lymph nodes (exception: anterior part of clitoris)