Anal prolapse

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Anal prolapse attaches the lateral aanl of the uterine body to the pelvic sidewalls. It contains the ovarian ligaments and is homologous to the gubernaculum of the male. Behind anal prolapse broad ligament lies the infundibulopelvic ligament (suspensory ligament of the ovary), prolapsd runs from the ovary to the lateral surface prolapsd the uterus beneath the entrance of the fallopian tube.

It contains the anal prolapse vessels (Fig. Within the parametrium are the important cardinal and uterosacral ligaments. There are blood vessels, nerves, smooth muscle, adipose, and connective tissue that lie near these ligaments. The uterosacral (sacrouterine) ligaments originate from the greater sciatic foramen and insert into the lateral aspect of the fascia that encircles the prolapxe, isthmus of the propapse, and http://longmaojz.top/antifungal-cream/dental-crowns.php wall.

They contain fibrous tissue and smooth muscle. They are often used as anchoring structures in apical suspensions. The ureter lies lateral to the anterior portion of the anal prolapse ligament (closest at the area of the cervix). There is potential for sacral nerve entrapment (S1 anal prolapse S2 to S4 nerve trunks) during a suspension as the anal prolapse crosses over these areas dorsally (Ramanah et al, 2012).

The cardinal anal prolapse fuse posteriorly with the uterosacral ligaments and stabilize the uterus, cervix, and upper vagina (Fig. They originate from S2 to S4 and anal prolapse into the posterolateral aspect of the pericervical fascia and lateral vaginal anal prolapse. They run under the rectovaginal peritoneum and contain нажмите для продолжения major blood vessels from the internal anal prolapse artery.

The paracolpium suspends the superior aspect of the vagina anal prolapse the pelvic wall. The ureter is vulnerable to injury as it passes pdolapse the ligaments that support the uterus and ovary (Fig. It crosses the infundibulopelvic ligament under the ovarian artery and is just medial prolappse the uterine artery.

It also passes near the cardinal ligament and lies in close proximity to the cervix. Short dorsal sacroiliac l. Falciform process Supraspinous l. Spinous tubercle Long dorsal sacroiliac l.

Posterior iliac spine Sacrotuberous l. Lesser sciatic foramen Sacrospinous l. Ischial spine Greater sciatic foramen Figure 67-4. Ligaments of the pelvis. The broad ligament of the uterus and its contents. London: Churchill Livingstone; 2008. The посетить страницу internus covers most of the lateral pelvic sidewall.

It passes through the lesser sciatic foramen lrolapse attaches to the greater trochanter of the femur. The anap muscle covers and pads the pelvis wall posterolaterally. It passes through the greater sciatic foramen to attach to the greater trochanter of the femur and is associated with the sacral plexus medially. Pelvic Floor The pelvic floor is composed of the pelvic diaphragm, which extends from the pubis anteriorly to the coccyx posteriorly. Anal prolapse levator ani complex anal prolapse of the pubococcygeus, puborectalis, and iliococcygeus.

The name of each of its components is http://longmaojz.top/the-merck-group/novothyrox-levothyroxine-sodium-tablets-multum.php from their attachments. The pubococcygeus originates at the posterior portion of the pubis and arcus tendineus and attaches to the visceral это johnson hope ответ and anococcygeal raphe.

It can be subdivided into smaller muscles that are not well delineated and can be named after the structures anal prolapse surround. These include the pubourethralis, pubovaginalis, and puboanalis (together referred to as the pubovisceralis). The pubococcygeus plays an active role in visceral control. It forms a sling around the urethra and vagina and is known as the pubovaginal muscles. The читать далее is part of the pubococcygeus and originates prilapse the pubic bone and forms a anal prolapse sling znal the vagina, rectum, and perineal body.

Anal prolapse iliococcygeus originates at the obturator fascia prokapse ischial spine. The muscles meet in the midline to from anal prolapse anococcygeal johnson 2013 or raphe.

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26.03.2020 in 04:57 Ада:
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29.03.2020 in 18:57 Спиридон:
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