. A manual of gynæcology and pelvic surgery, for students and practitioners. Fig. 13.—Anterior surface of nulliparous uterus. (After Edgar.) That portion of the cervix superior to the line of the vaginalattachment is known as the supra-vaginal cervix; that portionprojecting into the vagina as the portio-vaginalis or infra-vaginal cervix. The anterior surface of the supra-vaginal portion has noperitoneal coat and is in relation with the posterior surface ofthe bladder to which it is loosely attached by connective tissue. THE UTERUS 29 The posterior surface of the supra-vaginal cervix is covered


. A manual of gynæcology and pelvic surgery, for students and practitioners. Fig. 13.—Anterior surface of nulliparous uterus. (After Edgar.) That portion of the cervix superior to the line of the vaginalattachment is known as the supra-vaginal cervix; that portionprojecting into the vagina as the portio-vaginalis or infra-vaginal cervix. The anterior surface of the supra-vaginal portion has noperitoneal coat and is in relation with the posterior surface ofthe bladder to which it is loosely attached by connective tissue. THE UTERUS 29 The posterior surface of the supra-vaginal cervix is coveredby peritoneum and faces the recto-uterine excavation. The infra-vaginal cervix points toward the posterior vaginalwall and the hollow of the sacrum. The posterior lip of theinfra-vaginal cervix is longer than the anterior. Just abovethe vaginal attachment, upon either side of the posterior wall,is found the uterine attachment of the recto-uterine Fig. 14.—Anterior surface of multiparous uterus. The cavity of the uterus in the virgin is only a potential cavitythe anterior and posterior walls of which lie in contact with eachother. The lower end of the cavity of the body of the uterus isseparated from the cervical canal by a constriction at the in-ternal orifice of the uterus (internal os). Below this thecervical canal presents a fusiform dilatation followed by a 30 ANATOMY second constriction at the external orifice (external os). Invirgins the external orifice is nearly circular but in parous womenit is a transverse slit. The entire uterine canal is about 6cm. in length in nullipara) and 7 cm. in multiparas. Its greatestwidth is from 3 to 4 cm. The direction of the uterine axis isupward and forward from the external orifice, with an anteriorconcavity at the level of the internal orifice.


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