By Alan DeCherney, Lauren Nathan, T. Murphy Goodwin, Neri Laufer, Ashley Roman

The best single-source ebook in women's future health care, reproductive medication, and pelvic surgery

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  • Thorough overview of all of obstetrics & gynecology
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    Extra info for CURRENT Diagnosis & Treatment Obstetrics & Gynecology

    Example text

    The more mature follicles enlarge and project onto the free surface of the ovary, where they are visible to the naked eye. They are called graafia follicles. When fully mature, the follicle bursts, releasing the ovum and becoming transformed into a corpus luteum. The corpus luteum, in turn, is later replaced by scar tissue, forming a corpus albicans. Arteries The ovarian artery is the chief source of blood for the ovary. Though both arteries may originate as branches of the abdominal aorta, the left frequently originates from the left renal artery; the right, less frequently.

    The veins follow the course of the arteries. Lymphatics 48 49 The lymphatics are numerous mucosal plexuses, anastomosing with the deeper muscular plexuses (Table 2â 2). The superior group of lymphatics joins those of the cervix and may follow the uterine artery to terminate in the external ili nodes or form anastomoses with the uterine plexus. The middle group of lymphatics, which drain the greater part of th vagina, appears to follow the vaginal arteries to the hypogastric channels. In addition, there are lymph nodes in the rectovaginal septum that are primarily responsible for drainage of the rectum and part of the posterior vaginal wall.

    Two thickenings of the endopelvic fascia, the medial and lateral pubovesical or puboprostatic ligaments, extend at the vesicourethral junction abutting the levator ani muscle from the lower part of the anterior aspect of the bladder to the pubic bones. Similar fascial thickenings, the lateral true ligaments, extend from the sides of the lower part of the bladder to the lateral walls of the pelvis. Posteriorly, the vesicourethral junction of the bladder lies directly against the anterior wall of the vagina.

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