By Alan DeCherney, Lauren Nathan, T. Murphy Goodwin, Neri Laufer, Ashley Roman
The prime single-source booklet in women's overall healthiness care, reproductive drugs, and pelvic surgery
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Extra info for CURRENT Diagnosis & Treatment Obstetrics & Gynecology
5 cm from the lateral fornix of the vagina. " 40 41 Ligaments Although the cervix of the uterus is fixed, the body is free to rise and fall with the filling and emptying of the bladder. The so-called ligaments supporting the uterus consist of the uterosacral ligaments, the transverse ligaments of the cerv (cardinal ligaments, cardinal supports, ligamentum transversum colli, ligaments of Mackenrodt), the round ligaments, and the broad ligaments (Fig 2â 24). The cervix is embedded in tissue called the parametrium, containing various amounts of smooth muscle.
The superior ramus of the pubis gives origin to the adductor longus and obturator externus muscles on its anterior surface and to the levator ani and obturator internus muscles. The superior border provides attachment for the rectus abdominis and pyramidalis muscle The pectineal surface gives origin at its posterior portion to the pectineus muscle. The posterior surface of the superio ramus is the point of attachment of a few fascicles of the obturator internus muscle. The anterior surface of the inferio ramus attaches to the abductor brevis, adductor magnus, and obturator externus muscles, and its posterior surface attaches to the sphincter urogenitalis and the obturator internus.
This portion is the region of greatest breadth. The cavity of the body, when viewed from the front or back, is roughly triangular with the base up. The communication of the cavity below with the cavity of the cervix corresponds in position to the isthmus and forms the internal orifice (internal os uteri). The cervix is somewhat barrel-shaped, its lower end joining the vagina at an angle varying from 45â 90 degrees. It projects into the vagina and is divided into a supravaginal and a vaginal portion by the line of attachment.