Essentials of gynecology : arranged in the form of questions and answers prepared especially for students of medicine / by Edwin B. Cragin.

  • Cragin, Edwin B. (Edwin Bradford), 1859-1918
Date:
1901
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Licence: Public Domain Mark

Credit: Essentials of gynecology : arranged in the form of questions and answers prepared especially for students of medicine / by Edwin B. Cragin. Source: Wellcome Collection.

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    plies the fundus and anastomoses with its fellow of the opposite side; the other descends along the side of the uterus and anasto- moses with the uterine artery. The tortuosity and free anastomoses across the median line are noticeable features of the arteries of the uterus. Describe the venous supply of the uterus. The uterus is surrounded beneath the peritoneum by a plexus of veins, called the uterine plexus; this receives the blood from the uterine walls and communicates with the vaginal and vesical plexuses below and the pampiniform above; it empties into the internal iliac and ovarian veins. Describe the lymphatics of the uterus. The lymphatics from the body of the uterus join with those from tHe ovary and tube and terminate in the lumbar glands. The lymphatics from the cervix pass beneath the base of the broad ligaments to the iliac glands. The lymphatics of the uterine cornu follow the round ligament and terminate in the inguinal glands. Give the nerve supply of the uterus. The chief nerve supply of the uterus is from the inferior hypo- gastric plexus of the sympathetic. The cervix also receives branches from the upper sacral nerves. What is the normal position of the uterus? This question has been frequently discussed and at great length. Tt is now sufficient for practical purposes to say that the uterus, when the pelvic organs are normal and when bladder and rectum are empty, lies slightly anteflexed and slightly anteverted ; but the posi- tion is constantly changing with the degree of distention of the blad- der and rectum, especially the former. What are the ligaments of the uterus? There are two utero-vesical ligaments, two round, two broad and two utero-sacral. Describe the utero-vesical ligaments. They are two folds of peritoneum passing between the bladder and the lower portion of the uterus on each side.