female pelvic anatomy.pptx

Pelvis

1. Mekelle University College Of Health Science Obstetrics and Gynecology Department Female Pelvic Anatomy 12/15/2023 1 Prepared By;ANGESOM H,MD

2. Outlines Bony pelvis Pelvic organs Pelvic floor Blood supply Lymphatic drainage Innervation 12/15/2023 2

3. Bony pelvis and Joints Bony pelvis is formed by Hip bones also called coxal or pelvic bone Ilium Ischium Pubic Sacrum Coccyx Joints Sacroiliac joints Synovial joint Pubic symphysis Fibrocartilagineous 12/15/2023 3

4. Pelvic openings Pelvic wall Posterior Lateral Inferior Anterior Pelvic openings Obturator foramen Sciatic foramen Lesser Greater 12/15/2023 4

5. Bony pelvis ligaments Planes and Diameters of the Pelvis Pelvic inlet Mid cavity Pelvic outlet 12/15/2023 5

6. Pelvic shapes Gynecoid Android Anthropoid Platyploid 12/15/2023 6

7. PELVIC WALL MUSCLES AND FASCIA Pelvic wall muscles Piriformis muscle Origin;sacrum Insertion ;greater trochanteric of femur Function;hip external rotator Obturator muscle Origin;ilium,sacrum and obturator membrane Insertion; greater trochanteric of femur Function;external hip rotator 12/15/2023 7

8. Pelvic fascia Parietal fascia Visceral fascia Extraserosal fascia 12/15/2023 8

9. Pelvic floor Pelvic diaphragm Pelvic floor where muscles span it Contains Levator ani muscles Pubococcygeus Puborectalis Iliococcygeus Fascia n Perineal membrane and perineal body 12/15/2023 9

10. Pelvic floor innervation S1-S5.. S2-S5 ….nerve to levator ani Pelvic blood supply Direct from aorta Ovarian artery Superior rectal artery Middle sacral artery Branches of internal iliac artery 12/15/2023 10 Internal iliac artery Anterior division iliolumbar lateral sacral artery Superior gluteal artery Posterior division Internal pudendal artery Inferior gluteal artery Uterine artery Vaginal artery Middle rectal artery Superior vesical artery

11. 12/15/2023 11 Pelvic innervation

12. 12/15/2023 12 Lymphatic drainage

13. 12/15/2023 13 Pelvic Bones Ligaments Openings

14. Internal pelvic organs Uterus Cervix Fallopian tubes Ligaments 12/15/2023 14

15. 12/15/2023 15

16. 12/15/2023 16 Connective tissue and surgical spaces of the pelvis

17. Perineum Diamond shaped are that same boundary as bony pelves Divided into two angles Anterior Posterior 12/15/2023 17

18. 12/15/2023 18 Vulvar structures and subcutaneous layer of urogenital triangle

19. 12/15/2023 19 Clitoris and associated vulvar structures in superficial space of urogenital triangle

20. 12/15/2023 20 Vagina and surrounding anatomy

21. Urogenital space Divided into two space by the perineal membrane Superficial Deep 12/15/2023 21

22. 12/15/2023 22 Superficial space of the urogenital triangle and anal triangle.

23. 12/15/2023 23

24. Superficial space muscles Ischiocavernous Bulbospongeosis Superficial perineal muscle 12/15/2023 24

25. Deep perineal pouch Lies deep to perineal membrane Contains Urethral muscles Parts of vagina and urethra Branches of pudendal vessels Dorsal vessels of clitoris Any collection within this space can spread to all directions 12/15/2023 25

26. Posterior angle Contains Ischioanal fossa Anus Sphincter complex Internal pudendal vessels and nerve 12/15/2023 26

27. References Clinical Anatomy William gynecology 4 th edition William obstetrics 26 th edition 12/15/2023 27