Gynecological diagnosis and pathology . ote the relation of the finger placed in the fornix to the utero-vesical peritoneumand that of the pouch of Douglas (divided at the utero-sacral ligament), to thecellular tissue at the base of the Broad Ligament, and (at a higher level) tothe Tube and Ovary. Note the isthmus, ampulla, and fimbriated end of the Tube, as also the positionof the Ovary. anatomical structures as they are, nothing being left to the it we learn the relation of the structures to the finger placed in theanterior and posterior fornices. For the lateral fornix we m
Gynecological diagnosis and pathology . ote the relation of the finger placed in the fornix to the utero-vesical peritoneumand that of the pouch of Douglas (divided at the utero-sacral ligament), to thecellular tissue at the base of the Broad Ligament, and (at a higher level) tothe Tube and Ovary. Note the isthmus, ampulla, and fimbriated end of the Tube, as also the positionof the Ovary. anatomical structures as they are, nothing being left to the it we learn the relation of the structures to the finger placed in theanterior and posterior fornices. For the lateral fornix we may take sucha section as that in fit;. 7. It also is a frozen section, but the intestines BIMANUAL EXAMINATION «7 have been lifted oul so as to show the relations f the peritoneum,These sections show the exact disposition of the anatomical structures,and, taken with the table of pathological conditions most liable to affectthem, give the best basis for physical diagnosis. The appearance of the pelvic organs as seen through the brim is. IPL Fio. S.—Uterus and its Appendages as keen through the Brim. U. Uterus; T. Fallopian Tube; 0. Ovary; Round Ligament; Infuudibulo-Pelvic Ligament; Utero-Sacral Ligament;R. Rectum ; P>. that the uterus rests on the bladder, the utero-vesical peritoneum being a merefold. The intestines have been removed so as to show the pouch of Douglas,the lateral boundaries of the deep part of the pouch being the utero-sacralligaments. The broad ligaments, which pass out. from the uterus to the sideVail of the pelvis, have in relation to their anterior layer the round liga-ment and in relation to their posterior layer the ovary, while the tube runsalong the upper margin towards the side wall of the pelvis, the free edge ofthe broad ligament, which is unoccupied by the Fallopian tube, forming theinlundibulo-pelvic ligament, or ovario-pelvic ligament. The utero-sacralligament is a fold of peritoneum passing from the uterus a
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
