858 



GENEKATION. 



are essential to a comprehension of the situation and relations of the ovaries and Fallo- 

 pian tubes. 



The uterus is held in place by ligaments, certain of which are formed of folds of the 

 peritoneum. The anterior ligament is reflected from the anterior surface to the bladder ; 

 the posterior ligament extends from the posterior surface to the rectum ; the round liga- 

 ments extend from the upper angle of the uterus, on either side, between the folds of the 

 broad ligament and through the inguinal canal, to the symphysis pubis ; the broad liga- 

 ments, which extend from the sides of the uterus to the walls of the. pelvis, are the most 

 interesting of all, as they lodge the ovaries and the Fallopian tubes. 



If we imagine the uterus, occupying, as it does, the upper part of the pelvis, and 

 remember its angle of inclination, it is evident that it, with the broad ligaments, must 

 partially divide the pelvis into two portions ; and these ligaments, which are formed of 

 a double fold of peritoneum, present a superior, or posterior surface, and an inferior, or 

 anterior surface. The superior, or anterior border of this fold is occupied by the Fallopian 

 tubes, the peritoneum constituting their outer coat. Laterally, at the free extremities of 

 the tubes, the peritoneum ceases, and there is an actual opening of each Fallopian tube 

 into the peritoneal cavity. Attached to the broad ligament and projecting upon its pos- 

 terior surface, is the ovary. This little, almond-shaped body is connected with the fibrous 

 tissue between the two layers of the ligament, and has no proper peritoneal investment ; 

 so that it is actually within the peritoneal cavity. If we look at the ovary from the 

 front, we simply see the rounded prominence which marks the point of its attachment to 

 the broad ligament ; but, if we look from behind, the projecting surface is seen, and we 



n mt " H - Faa f ian <". a** maries ; posterior tiew. (Sapper ) 



dema ] rcati nat the base ' whicb indicato ^ere the tessellated, 

 d Wh6re the Pr per columnar P^elium of the ovary begins. 



r n ?,: surface f the ry ' its e ntent9 -5* * be 



the uter by , g en 1 ' t S ""TV" *"" ^^ ^ ? '" attached to 

 ovary This it ' 7 g J b neath the P eri toneum, called the ligament of the 



of th'e br o ; f; a rnV S a C reZ S n, 0f n n - striated mus ' fi "res. Between the folds 

 blood-vessels SS^^^'*.* 11 * 1 ? 8 the ^^ ligament of the uterus, 

 the superficial ^S* ^ fib - 8 ' 



