Dissection of female pelvis from a lateral approach

Pelvic plexus and ganglion; vaginal artery

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Image #162-6
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Dissection of female pelvis from a lateral approach
Pelvic plexus and ganglion; vaginal artery
The uterus and vagina have now been deflected anteriorly. The uterosacral and cardinal ligaments, which are shown in 162-2, have been dissected so that the pelvic plexus and the vaginal and uterine blood vessels are exposed.
1 . Internal iliac artery and vein
2 . Superior hypogastric plexus
3 . Ganglion of sympathetic trunk
4 . Articular surface of sacrum
5 . Pelvic splanchnic nerves
6 . Piriform muscle (cut across)
7 . Pelvic ganglion
8 . Middle sacral artery
9 . Inferior hypogastric plexus (pelvic plexus)
10 . Vaginal artery (branch of uterine artery)
11 . Superior fascia of pelvic diaphragm
12 . Pelvic diaphragm (sectioned near midline)
13 . Rectum
14 . Vagina
15 . Urethra
16 . Ureter
17 . External iliac artery and vein
18 . Uterine veins
19 . Obturator nerve
20 . Lateral umbilical ligament
21 . Ligamentum teres (of uterus)
22 . Pubic symphysis
23 . Uterus