LABORATORY MANUAL WEEK I

ANATOMY OF FEMALE REPRODUCTIVE

SYSTEM:

TOPOGRAPHY AND SUPPORTING SYSTEM,

UTERINE, FALLOPIAN TUBE, OVARIUM

THIRD YEAR UNDERGRADUATE PROGRAM

 FACULTY OF MEDICINE
UNIVERSITAS PADJADJARAN 2018/2019
LEARNING OBJECTIVES
After performing laboratory activity, the students should be able to:
1. Describe pelvic ligaments
2. Explain peritoneum that lining abdominal cavity and pelvic viscera
3. Explain the position and form of the ovary, uterine tubes, uterus,
cervix and vagina and their anatomical relationships, including any
peritoneal coverings.
4. Explain internal and external structure of the ovary, uterus, uterine
tubes, and vagina
5. Explain the vasculature, innervation and lymphatic drainage of the
ovary, uterine tubes, uterus, and vagina

RESOURCE PERSON
Wulan Mayasari,dr.,M.H.Kes
Fifi Veronica, dr. M.Kes

REFERENCES
Moore KL and Dalley AF. Clinically Oriented Anatomy. 5 th Edition.
Lippincott Williams & Wilkins. 2006

INTRODUCTION
The organ of female reproductive system include the ovaries (female
gonads), uterine tubes, uterus, vagina and external organs, which are
collectivelly called the vulva or pudendum. The structures supporting like
fascia and ligament, make the organs connected each other.
HOMEWORK ASSIGNMENT
(make in separate paper and don't forget bring your ATLAS
ANATOMY)

Think first and answer the question correctly and concisely!!

1. Differentiate between parietal - visceral peritoneum and also
mesenteries.
2. See the pictures below. Number 1-6 describe continuation
peritoneum layer into the pelvic cavity in both sexes . Please
explain it

5
1 2 3 4 6

3. Make schematic picture about topography and normal position all

female reproductive organs in general.
4. Differentiate between anteflexion, anteversion, retroflexion and
retroversion in uterine
Describe about broad ligament and differentiate it's part (also it 's
contents)
5. Describe about endopelvic fascia :
a. Transverse cervical (cardinal) ligament
 b. Uterosacral ligament
c. Pubocervical (vesicovaginal) ligaments

Describe about the ovary, and it”s two ligaments and explain about
functional signifiance of both ligaments
6. Describe about the division of uterine tube
7. Describe the uterus and it”s division
8. Describe about internal os and external os
9. Describe about the vagina
10.Make a schematic drawing about vascularitation, innervation and
lymphatic drainage of female reproduction organs
11.Describe the microstructure of the ovary, uterine tubes, uterus (i.e.
during menstruation and proliferation ), cervix and vagina with the
schematic drawing
LABORATORY ACTIVITY
Pre-requisites: The students have to do the homework assignment and
read the references as listed in the first page.

Task:

1. Please learn anatomical aspects of the female reproductive organ

using available demonstration and learning tools.
2. Please discuss several important things put in the homework
assignment.
3. Pleses discuss the clinical case below:

Clinical Case :
You are medical student on duty in Obstetri and Gyanecology
Department. You have 35-year old female patient who complains of
irregular and painful menses, and an unexplained abdominal mass. The
patient reports that she has six children. On physical exam you palpate a
large (15 cm in diameter) mass in the lower abdomen. The patient denies
pain on deep palpation, bowel sounds are present and normal. The
surgeon decides to perform an exploratory laparatomy. She advises the
patient that she may have to perform a hysterectomy and makes certain
that the patient understands the consequences of the surgery.

Questions :
1. Define hysterectomy and laparatomy ?
2. To excise the uterus what ligaments would the surgeon have to cut
?
3. What kind of blood vessels would be concerned when the surgeon
performe the surgery?
What other vessel or tube would be of great concern?
LIST ANATOMICAL REVIEW ( give the checklist √ if you have
already know)
Peritoneum and pelvic mesenteries

1. Pelvic peritoneum :
- Parietal peritoneum
- Visceral peritoneum
- Mesenteries
- Continuity from the abdominal wall into the pelvic cavity in
both sexes
2. Mesometrium (broad ligament)
- Structure
- Relations :
The uterovesical pouch
The rectouterine or rectovaginal pouch (of Douglas)
- Divisions :
The mesosalpinx
The mesovarium
The mesometrium
The infundibulopelvic ligament (suspensory ligament of the
ovary)
- Contents :
A uterine duct (oviduct)
The ovarian ligament (proper ligament of the ovary)
The round ligament of the uterus
The uterine neurovascular bundle
Ovarian vessels
Vestigial structures
3. Endopelvic fascia
 - Location
- Divisions :
Transverse cervical (cardinal) ligament
Uterosacral ligament
Pubocervical (vesicovaginal) ligaments

Normal position and relationships of all female reproductive

organs in general :
Anteversion-Retroversion
Anteflexion-Retroflexion
1. Ovarium
- External structure :
a. Position
b. Ligamentous support :
- Internal structure :
- Vasculature
Arterial supply
Venous return
Lymphatic drainage
Innervation
2. Uterine tubes (fallopian tubes or oviducts)
- External structure :
- Support : supported by mesosalpinx (Review)
- Divisions :
3. The uterus
- External structure : size
- Divisions :
- Support :
 The levator ani muscle and urogenital diaphragm
 The mesometrium
 The round ligament of the uterus
 The transverse cervical (cardinal) ligament
 The uterosacral and pubocervical ligaments

- Vasculature :
 Arterial supply :
 Venous return :
 Lymphatic drainage :
- Innervation :
4. Vagina
- Location
- Structure :
- Relations :
- Vasculature
 Arterial supply :
 Venous return :
 Lymphatic drainage :
- Innervation :