By Farzeen Firoozi (eds.)
Female Pelvic surgical procedure: A finished Guide offers a accomplished, state of the art surgical overview of this box and may function a worthy source for clinicians and surgeons. The textual content stories the fundamental symptoms for therapy and information the numerous surgical techniques to the administration of all pelvic ground problems. as well as step by step description in textual content, the quantity offers illustrations/photographs of surgical suggestions. Integration of surgical movies demonstrating the main upkeep defined in every one part increase the textbook and function the final word structure for the schooling of clinicians and surgeons.
Female Pelvic surgical procedure: A entire Guide presents a concise and complete overview of all of the surgical ways to girl pelvic surgical procedure and hence it's going to function a very resource for physicians facing and attracted to the remedy of pelvic flooring disorders.
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Extra info for Female Pelvic Surgery
Example text
Divided into three groups, the innervation to the uterus is comprised of the superior hypogastric plexus, the middle hypogastric plexus, and the inferior hypogastric plexus. Located below the inferior mesenteric artery over the middle sacral vessels at the level of L4- L5, the superior hypogastric plexus connects with the inferior hypogastric plexus through intermesenteric nerves, which also receive branches from the lumbar sympathetic ganglia. Not always present, the middle hypogastric plexus sits at the sacral promontory.
The uterus changes size with age and parity. In adult women who have not had children, it measures 7 cm in length and 4–5 cm in diameter. It is larger in parous women. Anteriorly, the bladder sits on the uterus separated by the uterovesical pouch, which is a fold of peritoneum. On the posterior surface, the rectum separates the uterus by a deep fold of peritoneum that extends down to the upper vagina, creating the pouch of Douglas. The small intestine sits on the uterus and can extend into the pouch of Douglas if the walls are not fused.
The upper vagina originates from primordial mesoderm that differentiates into the urogenital ridge, which forms the Mullerian duct. By the eighth week of gestation, the two caudal ends of the Mullerian duct fuse in the midline, and the septum between involutes, creating the uterovaginal canal. The epithelium of the vagina, the vestibular glands, and the hymen, comes from the urogenital sinus, which comes from the cloaca, a derivative of the endoderm. Anatomy The vagina is a muscular canal approximately 7–8 cm in length that extends from the vestibule 1 Anatomy of the Female Genitourinary Tract to the uterus.