Dissection of female pelvis from a lateral approach

Interior of left side of pelvic cavity.

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Image #162-5

Dissection of female pelvis from a lateral approach

Interior of left side of pelvic cavity.

Removal of the left ovary and uterine tube has exposed the structures that lie immediately lateral to the ovarian fossa. Lymphatic vessels (21) can be seen passing to the external iliac nodes from the uterus and vagina. The obliterated part of the umbilical artery (16) lies lateral to these vessels against the pelvic wall.

1. Iliac lymph nodes
2. Right pointer: External iliac artery (cut off) Left pointer: Internal iliac artery
3. Femoral nerve
4. Obturator nerve
5. Articular surface of sacrum
6. Superior hypogastric plexus
7. Parietal pelvic fascia
8. Uterine vein
9. Ureter
10. Rectouterine muscle (uterosacral ligament)
11. Rectum (cut across)
12. Uterus
13. External iliac lymph node
14. Psoas major muscle (covered by fascia)
15. Obturator artery
16. Lateral umbilical ligament
17. External iliac artery and vein
18. External iliac lymph node
19. Internal iliac lymph node
20. Ligamentum teres (of uterus)
21. Lymph vessel (from uterus and vagina)
22. Uterine tube (cut across)
23. Proper ovarian ligament (cut off)
24. Uterine artery