Anatomy

Question 1

Liver ligament between 2,3rd segment and segment #4?

Answer 1

Aranzio ligament or umbilical fissure

Contains major branch of left hepatic vein- umbilical fissure vein: drains segments 3 and 4; separate vein from s2 joins superiorly

bridge of liver tissue: *avascular

Umbilical portion of left portal vein, segmental bile ducts that converge to form left hepatic duct and terminal branches of left branch of the hepatic artery

Question 2

Different name for Okabayashi space?

Answer 2

Medial pararectal space

Ureter is laterally

Question 3

Different name for Latzko space?

Answer 3

Lateral pararectal space

Lateral to the ureter=ureter is a medial border

Question 4

Vessels within vesico-uterine ligament per Fuji and Puntambekar?

Answer 4

Cervico-vesical vessels

Question 5

Where is middle vesical vein?

Answer 5

Cranial portion of posterior leaf of vesico-uterine ligament

Drains into deep uterine vein

Fujii fig: 7

Question 6

Where is inferior vesical vein?

Answer 6

Runs parallel to the cervix from the posterior portion of the urinary bladder

Drains to deep uterine vein

Fujii fig 8

Question 7

Where is Yabuki or Fourth space?

Answer 7

Between lateral side of the vagina and the caudal portion of the vesico-cervical ligament

Question 8

What defines anterior parametrium per Puntambekar?

Answer 8

Only after cutting the cervico-vesical ligament (aka vesico-uterine ligament containing cervical-vesical vessels)

Lateral limit: inferior vesical vein (which runs parallel to cvx and drains to deep uterine vein)