File:Operative gynecology - (1906) (14803309233).jpg

Identifier: operativegynecol001kell (find matches)
Title: Operative gynecology :
Year: 1906 (1900s)
Authors: Kelly, Howard A. (Howard Atwood), 1858-1943
Subjects: Gynecology Gynecology Gynecologic Surgical Procedures
Publisher: New York and London : D. Appleton and company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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:
Fig. 43.—The Course and Distribution of the Internal Pudic Arteries. about halfway between the symphysis and the tuberosity, to the outer surfaceof the descending pubic ramus; it terminates on the anterior surface of thesymphysis and the dorsum of the clitoris. The various trunks of origin of theinferior hemorrhoidal, superficial perineal artery, artery of the bulb, and corpuscavernosum are all shown. Fig. 44 shows the arterial vascularization of the floor of the pelvis as seenfrom without. The various arterial branches drawn are the derivatives of theinternal pudics already indicated in their origin in Fig. 43. 78 TOPOGRAPHICAL ANATOMY. Within the bony framework of the pelvic outlet, as formed laterally and pos-teriorly by the great sacro-sciatic ligaments, are seen the three pelvic outlets—the urethral, vaginal, and anal—corresponding to the same outlets seen fromwithin in the complementary picture (Fig. 42). It is important again to
Text Appearing After Image:
Cutaneous branch of inf. hern. art.Fig. 44.—The Arterial Vascularization of the Floor of the Pelvis as Seen from Without. notice the position of the urethra, high up under the pubic arch, with the vaginaimmediately beneath it; the anal orifice is at about the center of the figure,halfway between the pubic arch and coccyx and the tuberosities of the ischium.A striking feature in the picture is the ischio-rectal fossae between each tuber-osity and the levator ani muscle. Posteriorly the inferior hemorrhoidal arter-ies are seen emerging from the ischio-rectal fossae, curving forward, andbranching over the levator ani muscle, to be distributed to the lower part ofthe rectum and the sphincter ani muscle. The superficial perineal arteries are MUSCLES AND NERVES OF THE PELVIC FLOOR. 79 seen emerging from the depths of the ischio-rectal fossae anteriorly, and cours-ing forward in front of the rectum over the transverse perineal muscles. Theterminal branches of the internal pudic artery are

Note About Images