internal iliac (anterior division)
Which blood vessels travel
through the broad ligament?
uterine and ovarian arteries
Blood supply to the bladder
superior vesicle and inferior
vesicle arteries + vaginal artery
Origin of superior vesicle aretery
and inferior vesicle artery
internal iliac artery
Origin of the inferior rectal artery
internal pudendal
Rectal arteries (origin and supply)
origins - superior (IMA), middle
(internal pudendal), inferior
(internal pudendal)
supply - superior (upper 2/3
rectum), middle (lower 1/3
rectum) inferior (anal canal)
Arterial supply to levator ani
inferior gluteal artery
Origin of inferior gluteal artery
anterior branch of internal iliac
artery
breast lymph
axillary 75% + parasternal 25%
fallopian tube lymph
paraaortic lymph nodes
Bladder lymph
internal, external, common iliac
nodes
Cervix lymph
external iliac > para-aortic
Course of the round ligament
uterine horns to deep inguinal ring
to inguinal canal and mons pubis
Embryological source of the round
ligament
Gubernaculum
Vaginal prolapse >1cm below the
introitus (grade of prolapse)
3
Complete eversion of the vagina
(Grade of prolapse)
4
vagina within 1cm to the plan of
the hymen (grade of prolapse)
2
vagina >1cm above the hymen
(grade of prolapse)
1
contents of the broad ligament
uterine artery
vaginal artery
fallopian tubes
ovaries
round ligament
ovarian ligament
suspensory ligament
Where is the suspensory ligament
of the ovary?
within the broad ligament
What is the function of the
suspensory ligament of the ovary?
Transports vessels and lymphatics
of the ovary
Ligaments of cervix and uterus
cardinal and uterosacral ligaments
What are the attachments of the
cardinal ligament?
Thickening of the broad ligament
lateral to the cervix which fixes
the cervix to the walls of the
pelvis
What are the attachments of the
uterosacral ligaments?