1018 



THE VASCULAE SYSTEM. 



Fundus of uterus 



Uterine tube 



of uterus 



Ovary 



..^External iliac and sub- 

 ''aortic lymph gland 



..Subinguinal lymph gland 

 Hypogastric lymph glands 



External iliac lymph glands 



[gland 

 Vessels to ano-rectal, sacral, and sub-aortic lymph 



urethra have not yet been satisfactorily demonstrated, but it is stated that they pass to the 

 hypogastric glands, to the medial supra-femoral gland of the external iliac group, and to the 

 higher glands of the external iliac group. The lymph vessels of the prostatic part of the urethra 

 unite with the other lymph vessels of the prostate. 



The Lymph Vessels of the Prostate pass to the anterior and lateral vesical glands, to the 

 external iliac glands, to the hypogastric glands, and to the sacral and haemorrhoidal glands. 

 They anastomose with the lymph vessels of the bladder and the deferent duct. 



The Lymph Vessels of the Urethra of the Female have terminations corresponding with 

 those of the vessels of the membranous and prostatic portions of the urethra of the male. 



The Lymph Vessels of the Seminal Vesicle, on each side, pass to the medial glands of the 

 external iliac group. 



The Lymph Vessels of the Ductus Deferens, on each side, anastomose with those of the 

 seminal vesicle, and they pass to the hypogastric and external iliac glands. 



The Lymph Vessels of the Urinary Bladder. Many of the lymph vessels from the antero- 

 lateral aspect of the urinary bladder pass to the corresponding anterior and lateral vesical lymph 

 glands and, through them, become connected with the external iliac and hypogastric glands, but 

 some apparently pass directly to the hypogastric lymph glands. 



The lymph vessels from the superior, and many from the posterior part of the bladder, on 



each side, end in the external 



**-*Lumbar lymph glands iliac and hypogastric glands, but 

 some from the posterior part pass 

 upper part directly to the sub-aortic glands. 



The Lymph Vessels of the 

 Ureter. Little is known of the 

 lymph vessels of the ureter ex- 

 cept that those of its lower 

 extremity anastomose with the 

 lymph vessels of the urinary 

 bladder. It is suggested that the 

 vessels pass to the nearest lymph 

 glands. 



The Lymph Vessels of the 

 Vagina. The lymph vessels of 

 the lower part of the vagina 

 anastomose with the lymph vessels 

 of the labia minora and so trans- 

 mit lymph to the superficial 

 subinguinal glands. The lymph 

 vessels of the upper parts of the 

 vagina pass to the hypogastric 

 glands and also, with the lymph 

 vessels of the cervix uteri, to the 

 external iliac glands. Some of 

 the lymph vessels from the pos- 

 terior wall of the vagina terminate 

 in the ano-rectal glands. 



The Lymph Vessels of the 

 Uterus. The Lymph Vessels of 

 the Lower Part of the Uterus. 

 The majority of the lymph vessels 

 from the lower part of the uterus, including the cervix, unite with the lymph vessels of the 

 upper part of the vagina and pass to the hypogastric glands including the inter-iliac group 

 (p. 1017). Some pass to the external iliac glands, and others from the lower and posterior part 

 become associated with the ano-rectal, the sacral, and the sub-aortic glands. 



The Lymph Vessels of the Body of the Uterus run in several directions. The most im- 

 portant outflow is along the upper part - of the broad ligament, below the uterine tube, to the 

 region of the ovary where there is an anastomosis with the ovarian lymph vessels. Afterwards the 

 lymph vessels of this stream cross the brim of the pelvis minor and ascend to the lumbar lymph 

 glands. The accessory outflows are to the external iliac glands; to the sub-aortic glands: 

 and, along the round ligament, to the superior group of sub-inguinal glands. 



The Lymph Vessels of the Uterine Tube accompany the vessels of the main outflow from 

 the body of the uterus, and those from the ovary, and pass to the lumbar lymph glands. 



The Lymph Vessels of the Ovaries. The lymph vessels of each ovary accompany the 

 ovarian artery and some of the uterine lymph vessels, along the upper part of the broad ligament, 

 to the brim of the pelvis minor and then upwards to the lumbar lymph glands. 



The Lymph Vessels of the Testis and Epididymis. The testis and the epididymis i 

 not normally pelvic organs in the adult, but their lymph vessels may be considered here, inas- 

 much as the testes correspond, morphologically, with the ovaries. The lymph vessels of 

 testis and its epididymis accompany the testicular arteries and ascend to the lumbar regie 

 where they terminate in the lumbar lymph glands. 



The Lymph Vessels of the Rectum. The lymph vessels of the rectum and the upper par 

 of the anal canal pass for the most part along the middle and superior heemorrhoidal ves 



Cervix uteri 

 Ano-rectal lymph glands 



P. Superficial subinguinal lymph glands 



^---.. Labium ina.jus 



FIG. 814. DIAGRAM OF 



LYMPH VESSELS OF FEMALE GENITAL 

 ORGANS. 



