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21. TOPOGRAPHIC ANATOMY OF LESSER PELVIS AND PERINEUM

Topics of the lesson: The concept of a lesser pelvis in topographic anatomy. Pelvis bases: bone-ligamentous and muscular. Walls and divisions of the lesser pelvis. Pelvic fasciae and cellular spaces. The superior division of the lesser pelvic cavity: male and female peritoneum continuation. The topography of pelvic organs. Blood supply and venous drainage of the pelvis. Sympathetic and parasympathetic innervation of the pelvic organs. The topography of the perineum.

21.1. Sign the bone-ligamentous base of the pelvis, shown in the Fig. (English and Latin).

Fig. 21.1. Pelvis: bone-ligamentous base 21.2. Sign the pelvic muscles and ligaments (on Fig. 21.2).

Fig. 21.2. Pelvis muscles and ligaments

21.3. Shade in different colors divisions of the lesser pelvis on Fig. 21.3 and fill the table.

Divisions:

1

2

3

Upper border:

Lower border:

Contеnts:

Surgical access

Fig. 21.3. Floors of the pelvic cavity

21.4. Use the Fig. 21.4 and fill in the table. List organs of the lesser pelvis situated on the three divisions of the female pelvis.

DIVISIONS

ORGANS

1

-

-

-

-

2

-

-

-

-

3

-

-

-

-

Fig. 21.4. The location of female pelvic organs and their relation to the peritoneum

21.5. List the pouches (excavations), which the peritoneum forms in the pelvic cavity (in male/female).

FEMALE PELVIS

MALE PELVIS

1.

1

2.

21.6. Name the ligaments of the uterus and its appendages, shown in the Figs. 21.5 and 21.6.

Fig. 21.5. Ligamentous apparatus of the uterus from the superior aspect

ORGANS

LIGAMENTS

Uterus

-

-

-

-

-

-

-

-

-

-

Ovary

-

-

-

-

Uterine tubes

-

-

-

Fig. 21.6. Ligamentous apparatus of the uterus from the anterolateral aspect

21.7. Use the Figs. 21.7 and 21.8, fill names of arteries, supplying the organs of the lesser pelvis in English and Latin.

ORGANS

ARTERIES

VENOUS OUTFLOW:

Uterus

1

2 3

Urinary bladder

1

2

Rectum

1

2

3

Fig. 21.7. Blood supply to the small pelvic organs

Fig. 21.8. Blood supply to the small pelvic organs

21.8. Shade with colors pelvic cellular spaces and fasciae bounding them on Fig. 21.9. Fill in the table:

MALE PELVIS

FEMALE PELVIS

Parietal cellular spaces

1

1

2

2

3

3

4

Visceral cellular spaces

1

1

2

2

3

3

4

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