The vesicouterine ligament (VUL) is composed of the anterior leaf and posterior leaf. In the anterior leaf of the VUL, the cervicovesical blood vessels are the main vascular bundles.

Where is the vesicouterine pouch located?

The vesicouterine pouch is a fold of peritoneum over the uterus and the bladder, forming a pelvic recess. It is continued over the intestinal surface and body of the uterus onto its vesical surface, which it covers as far as the junction of the body and cervix uteri, and then to the bladder.

Where is the broad ligament located?

The broad ligament is a double-layered sheet of mesothelial cells. It extends from the sides of the uterus medially to the pelvic sidewalls laterally and the pelvic floor inferiorly. Superiorly, it engulfs sequentially from anterior to posterior the round ligaments, fallopian tubes, and utero-ovarian ligaments.

What happens if the broad ligament is damaged?

Broad ligament hematomas can result in large volumes of blood loss by dissecting into the retroperitoneal spaces. The source of a broad ligament hematoma can be venous, arterial, or both. Arterial bleeding usually results in a rapidly expanding hematoma. Venous bleeding typically results in slower expansion.

What is cardinal ligament?

The cardinal ligament attaches the lateral side of the vagina and cervix to the lateral pelvic wall, which provides support to the vagina and cervix. Studies have shown variable findings in the collagen content and distribution in the cardinal ligaments of women with a prolapsed uterus.

URETER DISSECTION AND VESICOUTERINE LIGAMENT DISSECTION

39 related questions found

Where do you feel ligament pain in pregnancy?

Round ligament pain is a sharp pain or jabbing feeling often felt in the lower belly or groin area on one or both sides. It is one of the most common complaints during pregnancy and is considered a normal part of pregnancy. It is most often felt during the second trimester.

Is the ureter a cardinal ligament?

The ureter passes through the cardinal ligament and beneath the uterine artery and vein approximately 1.5-2.0 cm lateral to the internal cervical OS [5,6]. It continues medially for about 2.0 cm, where it crosses the anterior fornix to enter the base of the bladder in the trigone.

Where do you feel broad ligament pain?

Round ligament pain feels like a deep, sharp, stabbing or stretching sensation that begins or worsens with movement. Some triggering movements may include rolling over in bed or taking a step. The pain may travel upward or downward, from the hips into the groin.

What does the broad ligament cover?

The broad ligament covers the lateral uterine corpus and upper cervix. The limits of the broad ligament are as follows: superiorly, the round ligaments; posteriorly, the infundibulopelvic ligaments; and inferiorly, the cardinal and uterosacral ligaments.

Where is the ovarian fossa?

The ovarian fossa is a shallow depression on the lateral wall of the pelvis, where in the ovary lies. This ovarian fossa has the following boundaries: superiorly: by the external iliac artery and vein. anteriorly and inferiorly: by the broad ligament of the uterus.

What part of the broad ligament supports the uterus?

The round ligament of the uterus originates at the uterine cornu of the uterus and blend with the tissue of the mons pubis and labia majora. The cardinal ligament is the inferior demarcation at the base of the broad ligament. The 2 cardinal ligaments support for the uterus and the cervix uteri.

Are the ureters in the broad ligament?

Here's the ureter behind the broad ligament, here it is in front, approaching the base of the bladder, which is here. The uterine blood vessels cross just above the ureter within the broad ligament.

What is the function of Vesicouterine pouch?

The vesico-uterine pouch may become attached to the uterus, preventing sliding of the urinary bladder past the uterus.

How is Vesicouterine pouch formed?

Vesicouterine pouch (female)

The second pelvic space formed by peritoneal covering in females is the vesicouterine pouch. The space exists between the posterior surface of the urinary bladder and the anterior surface of the uterus. This space is also continuous superiorly with the peritoneal cavity.

What pouch is located between the bladder and uterus in females?

The anterior cul-de-sac is located between the bladder and the uterus. The posterior cul-de-sac is found between the uterus and the rectum.

What keeps the uterus in place?

Your uterus is held in place within the pelvis by a group of muscles and ligaments. You may hear this called the pelvic floor muscles. When these structures weaken, they become unable to hold the uterus in position, and it begins to sag.

What is a broad ligament hematoma?

Broad ligament hematoma is an unusual complication that can occur during delivery, just after delivery or later in the puerperium. Trauma is believed to be the major causal factor of immediate hematoma, while pressure necrosis may cause late onset hematoma.

What happens to ligaments after hysterectomy?

When performed at the time of hysterectomy, the uterosacral ligaments are identified after the uterus and cervix are removed. Afterwards, sutures are used to attach the vaginal cuff to the uterosacral ligaments, which are ligaments that are higher up in the pelvis.

How do I know if I have round ligament pain?

The most recognizable symptom of round ligament pain is an intense, sudden spasm in your abdomen or hip area. The pain usually occurs on the right side. Some pregnant women experience round ligament pain on both sides.

At what week does round ligament pain start?

Round ligament pain usually occurs during the second trimester of pregnancy (weeks 14 through 27). But it can appear earlier or later in pregnancy. Women often describe round ligament pain as: Aches.

How do you stretch out round ligament pain?

3 round ligament stretches

1. Cat-cow. Position yourself on your hands and knees with your shoulders over your wrists and hips over your knees. ...
2. Pelvic tilts. Lay on your back with your knees bent and feet flat on the mat. ...
3. Savasana pose. Lay on the mat on your left side in a fetal position.

What ligaments are cut during a hysterectomy?

The sacrouterine ligament is cut and ligated, and the ligature is gripped and retracted. The remaining ligaments adhering to the uterus are the vesicouterine ligament and anterior half of the cardinal ligament.

What ligament suspends the ovary?

The suspensory ligament of the ovary provides the superior border of the broad ligament and, as its name indicates, suspends the ovary in the pelvis. The ovarian suspensory ligament contains an ovarian artery and vein, the ovarian nerve plexus, and lymphatic vessels (34).