Pelvis

@suryanshvaibhav
 Iperineuml

-
Pubic bone
-1 >

ramus
tal
•

÷:*
tuberosity
of IT
.

A Pelvis & Perineum barrier

" "
→ Levator ani
the anal canal )
capable of elevating
.

÷
.

wing
\o/ Pubococcygeus
. "
Pubo -

vaginalis

g. a. i. •
aggeus
g, , ◦ •
aggeus
Pubo -
rectalisc
cwccygeus) I come from
obturator
fascia

Éɧ
Pelvic fascia

→ PD

""
↳
fascia
"
> Ms continence Anal
.

of

↓
E. out
piercing
pelvic diaph .
Transverse -•
0€>
Perineal
dig .

ii. ,
⊕ Injury to membranous urethra

urine accumulation will take place in

DPP & also in Pelvis .

3
Scarpa's fascia
Pubic Tubercle - -
fusion - - -

Fascia latte
 e inside the wall of
urethral

f-

§tr
.

piercing perineal membrane

:B:
penis
only
→
1 labial
Clitoris q=
 Base Skin Gluteal
of Region
→

Apex →
fusion of lateral & medial wall

CORONALSECTIONAnalfas.ci a

✓
EAS

peria.mgal
t.Pudendalc.in# I Made
up of Obt . fascia & Lunate fascia)

(Alcock 's canal)

Pudendal nr .

11121--3

nv .
II of IRF : -

② FATE Pudendal
y→
nv .

••
 kidneys
/ Post Rd
snf
.

coverings

*
Retroperitoneal $10 .

*
B/w lTi2_
* =
150g =
135g

a ② = 11cm

⑤ = 6cm

width = 3cm ( Thickness)

"

mor ispah l e oge.am/

kidney
'

lpo1esI
,

upper
<

2
"'•

Surfaces
Borders

Hilum

pole
→
Upper
→

Éhick&Rounded#
Ant

Med .
&

&
www.

&
past

Lat

supra serial gland

.

IThindedgy-litilarkelatioI-itnttopost.nl
Lower pole →

In Thora#

" "
2
VAP " "
VAN
✓ →
Renal vein
1 Renal Pelvis

Renal
Artery
 I

lPostR_ Right kidney

Coverings

lSag.seetiof →
Diaphragmatic fascia

→
lperinephricfal-I-sttooless.at
"

and 1) →
floating
"

'
kidney
!
↓ ↓
Iperiuephrieeffvrion
↳
fluids travels downward

1
merge c- c-
Fascia 91 iaca merge
Extra peritoneal C.T.

Transversa_
to
Bloodsupplytokidney
Abd . Aorta Ivc
↓ ↑
Renal Ast (b) Renal vein
↓
↑
Art 15)
segmental segmental
vein

↓
↑
Lobar Art
lobar vein
↓
↑
Inter lobar Art Interlobar win
↓ ↑
Arcuate Art .

Arcuate vein
↓ ↑
lnterlobnlar Art lnthtobular Vein

↓ ↑
Afferent Arteriole Peritubular cap .

↓
↑
Glomerulus →
Efferent Arteriole

Ant Division →
9 Art
segmental
'

# Renae a
1- Art
Post Division →
segmental

11300 del 's line

↓
On
post .
surface at jun .
of medial 43rd

* NO Anastomosis
& Iat kid
⊕ Function Avascular plane
↓
Incision are given here

( Minimum blood loss)

 / Lymphatic drainage ) →
Para -
Aortic lymph nodes CLD

1Nv.snpply/_ →
Renal plexus
↳
Sym nu → Thorawlumbar outflow Tio -

Li

parasymnvi-Enr.lvagusnv.J1@aniosacral_yyUoeter.B ladder , that canal ]

lelinicae=

① A-errant Renal ④ → from Aorta

↓
(30% of populations To lower pole of kidney

② tPkD= Polycystic kidney Disease ( congenital )

I

Luminal continuity b/w

metanephnf-EZ~ff-7.LK
& Useteric bud is not
completely formed .
at

I fluid filled

Glomeruli will continue to excrete urine

cavity
.

2
to cyst
Urine accumulate in tubules .

It

Hugs tic enlargements /

 lureterl
Ureteric constrictions
I
also retroperitoneal .

lRelations= -
l Anterior

Ñost⑤= → Psoas
major & Bifurcation of CIA

lB1oodSupphF
 ( bro of A&t
largest .

11A)
1

dehdal
canal)

Mf .
Gluteal ⊕ & Obturator ④ are parietal branches while rest

are visceral branches .

urinary bladder
9m Children → Abdominis pelvic .

1wmpty=→ Tetrahedral in shape

IFNI → ovoid

capacity → 120mL to 320mL

7-
II Desire to micturate
 Related to median
→ ilmb .

Lig .

( )

( )
Base

t.IN vagina & Cervia

" "
most fixed
-

µ
→
3- 4cm behind

surrounded
lower part of Pubic
symphysis
-•

by prostate gland .

urogenital diaphragm

lnfero-lateralsurfaclsuperiorsu fo.cl/
• , , as .

suppo2ts=§
True : condensation Pelvic fascia
of
:
s
false peritoneal fields

Freies →
① Lateral
ligv
② Med & Lat
pubopnestaticlig.ir
③ Median Umb
big condensation of
.

✓→

⑨ Posterior ligament ✓ pelvic fascia

-
prostatic

the
older
lFals_ → ① Median umbilical fold .

Peritoneal
② 2 Medial sa na .
← fold over
obliterated Umb . art .

③ Lat . fold of Peritoneum

⑧ Post .

peritoneal told

'
→ htetnrsormcx
' '
isl SS '
I l
,
it
Sss
* IN
it
→smoothasw)
there is no snbmviwsa

↑
Median lobe

of Prostate

Venous
Drainage

%
# Sym Filling
Palanpur : Emptying
somatic :
voluntary
control

NervesyppY_ :
 ① Autonomic bladder
reflex

complete transaction above ( Sa Sa )

*
of spinal wed
-

He

URE_HRA
'

Prostatic :
Meals :

spongy %

11*71-1
 lorang

> Post .
border is

free .

/ uterine Tube

µinicalAnat_-
*
salphingitis -

Inflammation of fallopian
tube
↓
'
can cause uterine tube block .

Patency of uterine Tube is tested by :

① Insufflation ( Rubin 's Test)

d.
Air is pushed in UT
ovarian # → Lat
kid
tasty [ ↓
→ uterine A- → Med
43rd Air leaks out of Abd . ostium
↓
Lymph-ati.LT .
→ Internal iliac, Pre -
aortic
Bubbling sound
& Para aortic lym . nodes ↓
T, , Lz
can be heard by placing steth on
INI SYM : -

→ .

↳ iliac fossa
Para 9 52,5 & Sit
.

sym
 UTERUS ②
Hystelosalphingography
*
long axis of uterus is horizontal if bladder Radio
opaque substance leg -

Lipiodol)
is
↓
empty .

Pushed in UT

ÑÉ tube is
↓
9g patent : contrast medium
"
shaped
"
pear
will spill in peritoneal cavity .

lL] → 7.5cm

lsubdin.si#l-I
IBI → 5 em

→
25cm undue

weight → 30
-40g

( /
Body

"ᵗʰⁿˢ cervix tabone vaginae foam;)

§ [
of uterus
9) ( below vaginal fornix )

NIÉEr&Ax=
Angle of Anteversion

long axes of cervix Angle of Ahteflexion

)
long axes
→
of

?
"✗ •
of cervix
long axes
body

[
of vagina
" t"°""I

✓
"
✓
 -z→ʰ
KATI Broad ligament " "

%
→ "

↳ Round lig .

upper part lfundus)

FUNDUS
uterus
µ Round lig .

of uterus
↳ ↓
↳ fallopian tube
Round
Round lig of ovary big of
.

Orang

_ÉÑ¥¥ʰ-¥→ .

( MND ) ( D of Epoophoron)

( PMN D)
 post
*

"
Mary *
dazy I False)

Pelvic diaph.
ouscular Perineal ① Broad rig
Le body
② fold
ecogenital diaph. utero resicular

③
Rectoutine fold
bladder
osoal I minary
↳ vagina
uterine axis

⑤ Domuscular (True lig.)

*
0 Trans. Lig of Mackenrodt

(Tran. Cervical lig)

② Puboevical lig.
③ uterosacral
lig
④ Round rig
of uterus

~pubocevical auboprostatic in
rig

@suryanshvaibhav