File:Gynaecology for students and practitioners (1916) (14777929831).jpg

Identifier: gynaecologyforst00eden (find matches)
Title: Gynaecology for students and practitioners
Year: 1916 (1910s)
Authors: Eden, Thomas Watts, 1864-
Subjects: Gynecology Gynecology
Publisher: New York : Macmillan
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
issue interposed between the bladderand the sacro-sciatic notches. From this position the cellalar tissuemay be traced backwards to the anterior surface of the sacrum, whichreceives a thick covering, the rectum being completely surrounded.Anteriorly the cellular tissue is most abundant between the bladderand the posterior surface of the pubes. Embedded in the lateralmasses of cellular tissue lie the ureters with the uterine arteries andveins, and the large veins of the pampiniform plexus. The pelvic cellular tissue is for the most part a loose non-resistant 10 GYNECOLOGY structure, but in certain directions it becomes condensed into strongfibrous tissue. This occurs chiefly in relation to the large venousplexuses and arteries, where it forms well-defined perivascular sheaths.Both arteries and veins are connected up with the internal iliac vesselson the one hand and with the viscera lying in the floor of the pelvis,on the other. The perivascular sheath thus becomes an important UREFE^-
Text Appearing After Image:
Fig. 5. Horizontal Section through the Pelvis to show the Cellular Tissue. It also shows the relation of the openings of the ureters and the urethra at the trigone of the bladder. (Martin.) element in supporting the uterus and the other pelvic organs in theirnormal position (see also pp. 565, 566). The pelvic course of the ureter lies entirely in the cellular-tissueplanes and may be traced from the sacro-iliac synchondrosis, whichit reaches in company with the ovarian artery, down the lateral pelvicwall to the broad ligament ; here it runs at a deep level in close relationto the posterior layer of that ligament up to the posterior vaginalwall. Thence it passes to the base of the bladder in close relation tothe cervico-vaginal attachment. It is enveloped in cellular tissuethroughout, and carries its own nutritive vessels. The uterine vesselscross it obliquely in passing from without inwards to reach the cervixat about the level of the internal os, the artery being placed abovethe urete

Note About Images