Posted by lae2 on October 12, 2017 at 11:13:22:
In Reply to: Re: Pelvic Viscera Part I. posted by IndP on October 11, 2017 at 09:32:58:
: : 1. The retropubic space provides surgical access to the pubovesical ligament without the need to enter the peritoneal cavity.
: T? Agree. Raise the pubovesical ligament for treatment of urinary incontinence.
: : 2. The seminal vesicle lies posterior to the bladder and medial to the ampulla of the vas deferens.
: F; lateral to the ampulla. Agree.
: : 3. The rectouterine pouch is a subperitoneal space posterior to the fundus of the uterus and anterior to the rectum.
: T. Disagree. Not subperitoneal. Peritoneal.
: : 4. The vesicouterine pouch is a subperitoneal space posterior to the bladder and anterior to the uterus.
: T. Disagree. Not subperitoneal. Peritoneal. Pouch versus Space. Not the same.
: : 5. The most inferior extent of the peritoneal cavity in the female is the vesicouterine pouch.
: F. Agree. What is true?
: : 6. The rectovesicle pouch is unique to the male.
: T. Agree.
: : 7. The presacral pouch contains the inferior hypogastric and the sacral plexuses.
: T. Disagree. Presacral space.
: : 8. The cardinal ligament (lateral sacral ligament, Mackenrodt ligament) is derived from pelvic visceral fascia.
: T. Agree. Lateral cervical ligament.
: : 9. The puboprostatic ligament is derived from Scarpa's fascia.
: F (superior fascia of the PD) Agree. But derived from pelvic visceral fascia.
: : 10. The pubosacral ligamentous complex is derived from parietal pelvic fascia.
: F? This is true.
: : 11. Perivisceral fascia is derived from pelvic visceral fascia.
: T Agree. e.g. periprostatic fascia.
: : 12. Pelvic visceral fascia is continuous with extraperitoneal connective tissue.
: ?? T? Agree.
: : 13. Periprostatic fascia is thickened at the posterior prostate and, at this location, is known as the fascia of Denonvillier.
: T Agree.
: : 14. The prostatic venous plexus is within periprostatic fascia.
: T Agree.
: : 15. The arcus tendineus is derived from parietal pelvic fascia (watch out here).
: F. Agree. Derived from?
: : 16. Parietal pelvic fascia is continuous with transversalis fascia.
: T Agree.
: : 17. The inferior fascia of the pelvic diaphragm is pelvic parietal fascia.
: T. Disagree. inferior fascia of the pelvic diaphragm faces the ischiorectal fossa; not the pelvic basin.
: : 18. Contained within the broad ligament are two named fibrous ligaments.
: F. Arent there 3? True, ovarian and round. 3? Even so; still true.
: : 19. Lymphatic channels passing through the broad ligament communicate with upper lumber nodes and superficial inguinal nodes.
: T. (As well as internal iliac nodes...I think) Agree. Including internal iliac.
: : 20. Visceral and fibrous ligaments contribute to stabilizing the uterus.
: T. Agree. Be able to discuss this.
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