Manual of gynecology . y the structure known as the perineal body. This will be more fullydescribed afterwards. At the present stage of the dissection only its baseis seen, with the following muscles taking origin from or having an inser- ANATOMY OF THE FEMALE PELVIC ORGANS. 11 tion into it,—sphincter ani, transversus perinei, bulbo-cavernosus, levatorani (Fig. 7). Between the layers of the triangular ligament lie the urethra, a por-tion of the vagina, compressor urethrse, dorsal vein of the clitoris, internalpudic vessels and nerves, the artery to bulb, dorsal nerve of clitoris, andBartholini
Manual of gynecology . y the structure known as the perineal body. This will be more fullydescribed afterwards. At the present stage of the dissection only its baseis seen, with the following muscles taking origin from or having an inser- ANATOMY OF THE FEMALE PELVIC ORGANS. 11 tion into it,—sphincter ani, transversus perinei, bulbo-cavernosus, levatorani (Fig. 7). Between the layers of the triangular ligament lie the urethra, a por-tion of the vagina, compressor urethrse, dorsal vein of the clitoris, internalpudic vessels and nerves, the artery to bulb, dorsal nerve of clitoris, andBartholinian glands (Cunningham). The dissection of the urethral triangle has now been considered untilthe bladder has been exposed as it lies behind the pubis from which it isseparated by a considerable amount of loose fatty tissue. In order tocomplete the consideration, we have now to take up the muscles not yetdescribed, viz., the levator ani and coccygeus. The pelvic floor must now be looked at from its internal concave or. Fig. section, parallel to the anterior pelvic wall and through Lhe external genitals (Henle). a, vagina;6, urethra : c, corpus cavernosum clitoridis, covered by its erector; d, bulbus vaginae, covered by bulbo-ca-vernosus muscle; e, Bartholinian gland. peritoneal aspect. If the peritoneum and connective tissue beneath it,with the nerves and blood-vessels, be removed on one side of the pelvis,say the right, the two muscles known as the coccygeus and levator aniwill be exposed. .These spring from the middle of the inner side of thetrue pelvis, and, blending partly directly and partly indirectly with oneanother, form what may be termed the diaphragmatic muscles of thepelvic floor. If looked at through the pelvic brim, they are seen toform on both sides a concave arrangement analogous to the thoracic dia-phragm (Fig. 11). The Coccygeus sjDrings from the spine of the ischium and is insertedinto the side of the lower part of the sacrum and side and front of
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Keywords: ., bookcentury1800, bookdecade1, booksubjectgynecology, bookyear1883
