446 CLINICAL APPLIED ANATOMY. 



broad ligament. Hence it follows that cysts of the ovary proper 

 during their enlargement do not separate the layers of the broad 

 ligament, but increase in an upward direction, lifting the intestines 

 and omentum above them, and having the broad ligament as a 

 pedicle. 



The ovarian artery, derived from the abdominal aorta, runs 

 between the layers of the broad ligament just below the site of 

 the ovary itself, and ends by anastomosing with the termina- 

 tion of the uterine artery near the junction of the Fallopian tube 

 with the body of the uterus. 



In securing the pedicle of an ovarian cyst the interlocked 

 ligature is tied round the ovarian artery in two places, one 

 between the artery and the pelvic brim, and the other between 

 the ovary and the uterus. Hence it follows that a piece of the 

 vessel itself is excised with the tumour. 



Cysts derived from the parovarium, or remains of the Wolffian 

 tubules, lie between the two layers of the broad ligament, and 

 during their increase in size separate them. There is, therefore, 

 no true pedicle to such cysts, and a layer of peritoneum has to 

 be divided in order to remove them. 



THE FALLOPIAN TUBE. 



Salpingitis. The direct communication of the lumen of the 

 Fallopian tube with the exterior through the vagina, the cervix 

 and body of the uterus, explains the fact that micro-organisms 

 not infrequently find their way into it. 



Inflammation caused by the invasion of these bacteria may lead 

 to occlusion of portions of the tube and to the formation of pus 

 within the unobliterated parts. If the bacteria extend along the 

 whole length of the tube and through its ostium abdominale, 

 pelvic peritonitis may ensue, and this may lead to a sealing of 

 the fimbriated extremity, thereby preventing the passage of ova 

 through the canal. 



On the right side the close proximity which the appendix 

 vermiformis, lying over the brim of the pelvis, has to the ovary 



