Post on 14-Dec-2015
Posterior
Bartholin’s gland
The cervix has two openings. What are they called?
External os
Ampulla
Infundibulum
Isthmus
Internal os
Fimbriae
Name the parts of the fallopian tube
Describe the blood supply to the female reproductive tract
Rich anastamoses from following arteries:
Ovarian artery
Aorta at L2 level
Uterine artery
Vaginal artery
From internal iliac artery
From uterine artery OR From internal iliac artery
Now we understand the blood supply, describe the lymphatic drainage
Organ Lymph drainage
Ovaries Para-aortic nodes around L2 level
UterusFundus and upper bodyLower bodyCervix
Para-aortic nodesExternal iliacInternal and external iliac and sacral
Pick out the normal uterine alignment and name it
* ***
Anteverted anteflexed
Name this alignmentAnteverted retroflexed
Parietal peritoneum surrounds and supports the uterus, tubes and ovaries
Name these reflections of peritoneum of the ovary and uterus
Parietal peritoneum surrounds and supports the uterus, tubes and ovaries
Name these reflections of peritoneum of the ovary and uterus
Parietal peritoneum surrounds and supports the uterus, tubes and ovaries
Name these reflections of peritoneum of the ovary and uterus
Parietal peritoneum surrounds and supports the uterus, tubes and ovaries
Name these reflections of peritoneum of the ovary and uterus
Parietal peritoneum surrounds and supports the uterus, tubes and ovaries
Name these reflections of peritoneum of the ovary and uterus
Parietal peritoneum surrounds and supports the uterus, tubes and ovaries
Name these reflections of peritoneum of the ovary and uterus
mesometrium, mesosalpinx, mesovarium
Pelvic Organ Pain Referral
Organs covered in peritoneum
Organs not covered in peritonuem
Organs UterusBladderColon
Lower 1/3 rectum
Refer pain to which dermatome?
T10-12 S2-4
Via which nerves? Sympathetic Parasympathetic
Pain blocked by which method?
Spinal or epidural Caudal anaesthesia
Remember the diarrhoea!
Hypogastric pain Faeces in the rectum, pain in the ass!
Pelvic Organ Pain Referral
Organs covered in peritoneum
Organs not covered in peritonuem
Organs UterusBladderColon
Lower 1/3 rectum
Refer pain to which dermatome?
T10-12 S2-4
Via which nerves? Sympathetic Parasympathetic
Pain blocked by which method?
Spinal or epidural Caudal anaesthesia
Remember the diarrhoea!
Hypogastric pain Faeces in the rectum, pain in the ass!
Pudendal nerve block blocks the somatic innervation (S2-4) of the perineum, distal vagina and anal canal