Lecture 06 - Fallopian Tube, Uterus, Cervix

Question 1

Fallopian Tube: General Characteristics

Answer 1

10-12 cm

Broad lig.: except infundibulum

Question 2

Fallopian Tube: Partition

Answer 2

1. Infundibulum + ovarian fimberia
2. Ampulla: fertilization, 7cm, biggest part
3. isthmus: 1*0.025 cm
4. intramural: to inside of uterus, ART, tightest part of fallopian tube

Question 3

Fallopian Tube: open infundibulum

Answer 3

1. Extrauteral pregnancy

2. Possible peritonitis

Question 4

Fallopian Tube: Abilities

Answer 4

1. Transportation of egg to uterus –> tubal pregnancy

2. Road for sperm–> tubal ligation as anti-fertilization –> ART

Question 5

Fallopian Tube: Blood Supply

Answer 5

1. Uterine(gonadal) a.
2. Ovarian a. –> infundibulum
3. Uterine v.
4. Ovarian v. –> infundibulum

Question 6

Fallopian Tube: Lymph

Answer 6

1. Internal Iliac nodes
2. Para aortic –> infundibulum
3. Inguinal –> para

Question 7

Uterus: General Charateristics

Answer 7

Palpable
Muscular
853

Question 8

Uterus: Layers

Answer 8

1. Endometrium –> polyps - endometriosis
2. Myometrium: growth with pregnancy as numbers and volume –> tumors - hysterectomy or tumor removal
3. Perimetrium: external CT, mostly covered with peritoneum

Question 9

Uterus: Partition

Answer 9

1. Fundus: posterior to pubis symphysis
2. Carpus: 5cm
3. Isthmus: between carpus and cervix
4. Cervix: anterior to rectum, posterior to bladder/urethera, 3.5 cm

Question 10

Cervix: General Characteristics

Answer 10

Openings:
1. External
2. Internal
Mucous: Unaffected by hormones
Pelica Paulmata --> high estrogen --> these get farther for sperms to move
Thick moucos

Question 11

Cervix: Partition

Answer 11

1. Vaginal: no changes

2. Supravaginal: at the end of pregnancy opens up

Question 12

Uterus: Adjacents

Answer 12

Inferior: bladder
Superior: rectouterine recess –> sigmoid colon
Posterior: rectum
Lateral: intestine

Question 13

Uterus: Holders

Answer 13

1. Cardinal/Transverse lig.
2. Broad lig.
3. Pubocervical
4. Proper lig. Of uterus –> from fundus into inguinal canal to major labium - between the 2 layers of broad lig.

Question 14

Uterus: Prolaps

Answer 14

Uterus moves into vagina
Infection, hemorrhage, pain

Treatment:

1. Hysterectomy: old ages
2. Repair lig.
3. Ring on levator ani and vagina

Question 15

Cervix: damage to cervix holders

Answer 15

1. Long Extreme pregnancy
2. Malnutrition: vit. C
3. Collagen based diseases

Question 16

Uterus: Blood Supply

Answer 16

1. Uterine a. –> from internal iliac a. - anastomosis with ovarian a.
2. Vaginal a.
3. Tubal a.
4. Ovarian v. –> internal iliac v.

Question 17

Uterus: Lymph

Answer 17

Internal iliac –> common iliac –> para aortic nodes –> cisterns chilli

Superficial inguinal nodes: fundus of uterus + round lig.

Question 18

Uterus: Innervation

Answer 18

Parasympathetic: hypogastric network
Sympathetic: T11,12 –> pain, vessel constriction
Pain: mostly in place, uncommonly in hypogastr