Operative gynecology : . he symphysis pubis, vagina, and cervix uteri,as contrasted with the upper movable peritonealportion. The first striking feature is the hex-agonal form, which is caused by the attachmentof the bladder to the symphysis and its angularreflection out over the lateral pubic rami. Fromthe posterior point of attachment to the pubic rami it is reflected again at anangle to its cervical attachment, which it also meets at an angle, completingthe hexagon. The trigonum is well shown and the internal urethral orificelies a little in advance of the center, forming a transverse fold
Operative gynecology : . he symphysis pubis, vagina, and cervix uteri,as contrasted with the upper movable peritonealportion. The first striking feature is the hex-agonal form, which is caused by the attachmentof the bladder to the symphysis and its angularreflection out over the lateral pubic rami. Fromthe posterior point of attachment to the pubic rami it is reflected again at anangle to its cervical attachment, which it also meets at an angle, completingthe hexagon. The trigonum is well shown and the internal urethral orificelies a little in advance of the center, forming a transverse fold with a sharpridge above it, and with numerous fine radiating folds entering the openingfrom below. The ureteral orifices are about 2-J cm. apart, and the same dis-tance from the urethra; each orifice is situated on a little mons. ureteris. Theinter-ureteric ligament is evident by a slight elevation. Posterior to the inter-ureteric ligament is that part of the base of the bladder which lies in relationto the upper Fig. 36.—Vascularization of theVesical Mucosa by the Rightand Left Superior, Middle,and Inferior Vesical Arteries. The superior vesical arteries (a)are distributed over the superior andlateral regions of the bladder. Themiddle vesical arteries (b) are dis-tributed over the posterior portion,which lies in relation to the uterusand upper vagina. The inferior vesi-cal arteries (c) are distributed to thetrigonum and the middle part of thevagina. THE TOPOGRAPHY OF THE PIXED PART OP THE BLADDER. 71 Fig. 38 is a sagittal section of the pelvis, showing the rectum drawn awayfrom the sacrum, in order to demonstrate the arteries, veins, and nerves of the
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectgynecology, bookyear1
