45 6 



APPLIED ANATOMY. 



runs from the uterus backward and contains muscular and fibrous tissue, the mus- 

 cular tissue goes to the rectal wall while the fibrous goes to be attached to the second 

 and third sacral vertebrae. This ligament on each side forms the outer border of 

 Douglas's pouch. 



Contained in the broad ligament between the Fallopian tube and ovary can 

 be seen the remains of the parovarium or organ of Rosenmiiller (page 453) and 

 Gartner' s duct. A little farther in are the remains of the paroophoron not clearly 

 visible to the unaided eye. 



The round ligament leaves the cornu of the uterus just below and anterior to 

 the Fallopian tube, and passes outward, forward, and slightly upward to reach the 

 internal inguinal ring and canal through which it passes to end in the subcutaneous 

 tissue and skin of the labium majus. Owing to the ovary and Fallopian tube falling 

 backward the round ligament is seen as a distinct cord passing to the sides of the 

 pelvis. It receives a branch from the deep epigastric artery. 



THE OVARY. 



The ovary is about 4 cm. (i % in.) long, 2 cm. (f in.) wide, and I cm. (-f in. ) thick. 

 It is connected with the posterior surface of the broad ligament by a very short 

 mesentery, the mesovarium. It is through this that the ovarian vessels pass. It has 



Round ligament 



Mesentery or 

 mesovarium 



Ovary 



Fimbriated ex- 

 tremity of tube 



Ovarian artery 

 and veins 



terus, fundus 



Fallopian tube, 

 isthmus 



Utero-ovarian 

 ligament 



Ampulla of tube 



Suspensory ligament 



Infundibulum 



of tube 



Broad ligament 



Uterus, body 



Cervix of uterus, 



FIG. 459. The uterus, ovaries, and tubes. 



two ligaments, one, the suspensory or infundibulopelvic ligament, is a fold of peri- 

 toneum going up to the side of the pelvis above and contains the ovarian vessels; the 

 other, the utero-ovarian ligament, going in the broad ligament to enter the uterus 

 just below and behind the Fallopian tube. The ovary lies longitudinally or obliquely 

 against the outer wall of the pelvis with the ureter just behind and below its posterior 

 edge. From its upper end proceeds the suspensory or infundibulopelvic ligament 

 and from its lower end the utero-ovarian ligament. The normal Graafian follicles and 

 corpus luteum should not be mistaken for pathological cysts. The Fallopian tube 

 surrounds the upper end of the ovary and its fimbriated extremity clings to its 

 surface (Fig. 459). 



Fallopian Tubes. The Fallopian tube is about n cm. (4^ in.) long and 

 runs in the broad ligament along its top or free edge from the uterus to the ovary. 

 Its inner portion between the proximal end of the ovary and uterus is straight and 

 smaller in diameter than the rest and is called the isthmus. Its lumen is about 3 mm. 

 (y& in.). The part beyond, or ampulla, curves around the ovary from above down- 

 ward and is larger than the isthmus and has a lumen of about 8 mm. (^ in.). The 

 size of the abdominal opening of the Fallopian tube is about 2 mm. or y 1 ^ in. The 

 part of the broad ligament between the tube and mesovarium is called the mesosalpinx. 



