lateral cellular space
Download
Report
Transcript lateral cellular space
Anatomical and Physiological
Substantiations of Operative
Interventions on Pelvic Organs
Osseous Basis of Pelvis
(anterior view)
Osseous Basis of Pelvis (posterior view)
Suprapiriform foramen:
a. glutea superior
v. glutea superior
n. gluteus superior
Infrapiriform foramen:
n. gluteus inferior
a. glutea inferior
v. glutea inferior
n. pudendus
n.ischiadicus
a. pudenda interna
n. cutaneus femoris posterior
Pelvic Compartments:
Peritoneal compartment
Subperitoneal compartment
Subcutaneous compartment (ischiorectal fossa)
Pelvic Compartments
Culdocentesis
Colpotomy for pelvic abscess
Fasciae and Cellular Spaces of the Pelvis
Spread of Pelvic Abscesses
From lateral cellular space to:
1) visceral cellular space
2) gluteal region
3) medial surface of thigh
From prevesical space to:
1) thigh
2) ventral abdominal wall
From paravesical space to:
1) retroperitoneal space
From retrorectal space to:
1) retroperitoneal space
From parametric space to:
1) internal inguinal ring, than – ventral abdominal wall
2) iliac fossa, and than – retroperitoneal space
Branches of the Internal Iliac
Artery
Anterior trunk:
a. umbilicalis
a. uterina (a. ductus deferentis)
a. vesicalis inferior
a. rectalis media
a. obturatoria
a. pudenda interna
Posterior trunk:
aa. sacrales laterales
a. iliolumbalis
a. glutea superior
a. glutea inferior
Sacral Plexus
Ischio-rectal Fossa
Female Perineum
Trigone of Urinary Bladder
Ligamentous Apparatus of Uterus
Fixative apparatus:
- Cardinal ligament
- Sacrouterine ligament
- Pubovesical ligament
- Vesicouterine ligament
Suspending apparatus:
- Round ligament of uterus
- Wide ligament of uterus
Supporting apparatus:
Muscles and fasciae of pelvic bottom
Pouches and Ligaments/Topography of
Female Pelvis
Types of Acute Paraproctitis
1.
2.
3.
4.
Subcutaneous
Ischiorectal
Pelviorectal
Submucous
Types of Pararectal Fistulae
а) subcutaneous; б) lower anal; в) higher anal;
г) submucous; д) ischiorectal; е) pelviorectal
Paracentesis of Urinary Bladder
Thank You for Attention!