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Pelvis (fazlası için www.tipfakultesi.org)
 

Pelvis (fazlası için www.tipfakultesi.org)

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Pelvis (fazlası için www.tipfakultesi.org) Pelvis (fazlası için www.tipfakultesi.org) Presentation Transcript

  • 1. Identify the bony walls and ligamentous landmarks of the pelvis. Sacrotuberous Ligament Sacrospinous Ligament Sacrospinous Ligament Sacrotuberous Ligament Lesser Sciatic Foramen Greater Sciatic Foramen Coccyx Tip of Coccyx Ant. Sup. Iliac Spine Pubic symphysis Iliopectineal Line Pubic Symphysis Pubic Arch Ischial Tuberosity Sacrotuberous Ligament Pelvic Outlet
  • Male vs. Female Pelvis Male Female Pelvic Inlet Pelvic Outlet Pelvic Cavity Pelvic Arch
  • Muscular Walls Obturator Internus Ischial Tuberosity Lesser Trochanter Greater Trochanter Gemellus Superior & Inferior Sacrotuberous Ligament Piriformis Muscle Greater Sciatic Foramen Piriformis Muscle Sacrospinous Ligament Sacrotuberous Ligament
  • 4. Identify the pelvic diaphragm and its components Sacrum Pubic Symphysis Urethra Rectum Obturator Internus Coccyx Coccyx Pubic Symphysis Levator Prostatae or Sphincter Vaginae Puborectalis Perineal Body Iliococcygeus Coccygeus Inferior View Superior View Sphincter Vaginae (or Levator Prostatae) Puborectalis Pubococcygeus Iliococcygeus Coccygeus Pubococcygeus Vagina
  • 2. Identify the normal position and anatomical relationships of the pelvic viscera Anteverted Anteflexed
  • 3. Identify the extent of the peritoneum and its folds and reflections in the male and female pelvis and their relationship to the pelvic contents.
    • Most pelvic organs are infraperitoneal
    Infraperitoneal space Rectovesicle pouch Vesicouterine pouch Rectouterine pouch
  • Ligaments supporting pelvic organs Peritoneal ligaments Broad ligament Fundus Round lig. of uterus Bladder Uterine tube Lig. Of ovary Suspensory lig. Lig. Of the ovary Round ligament of the uterus Fundus Body Cervix Uterine art. Ovarian art. Uterine tube Mesosalpinx Lig. Of the ovary Round lig. of the uterus Mesometrium Ureter Uterine art. Pelvic visceral ligaments Bladder Pubocervical lig. Transverse cervical lig. Cervix Sacrocervical lig. Rectum Bladder Pubocervical lig. Transverse cervical lig. Rectum Pelvic diaphragm Sacrocervical lig.
  • 5. Follow the flow of blood into an out of the structures of the pelvis and perineum. Rules: 1. All pelvic organs are supplied by branches of the internal iliac artery except the ovaries and the upper third of the rectum. 2. Venous drainage follows the arterial supply, including the portal tributary, the inferior mesenteric vein. 3. Portal caval anastomses are found at the inferior rectal veins. Celiac Inferior mesenteric Ovarian Superior mesenteric Superior rectal Testicular Common iliac Ext. iliac Int. iliac Median Sacral Femoral Inguinal ligament Renal
  • 6. Identify the lymphatic drainage of structures of the pelvis and perienum.
    • Rules:
    • Lymphatics drain toward lymph nodes along internal iliac veins, except for the ovary (para-aortic nodes), and superior portion of the rectum (inferior mesenteric nodes)
    • Perineum drains to superficial inguinal nodes
    Para-aortic External iliac Internal iliac Superficial Inguinal
  • 7. Follow the course taken by an ovum through the female reproductive tract and the pathway taken by a spermatozoon through the male reproductive tract. Fundus Uterine tube Ovary Body Cervix Vagina Fornix Uterine cavity Fimbria Inguinal canal Ductus deferens Bladder Ampulla Seminal vesicle Prostate Bulbourethral gland Ejaculatory duct Urethra Testis Epidiymis Ureter Ductus deferens
  • Innervation of Pelvic Organs