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pelviscopy
viewing of the structures found in the pelvic cavity with a scope
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contains and nourishes the fetus during pregnancy. the uterus is a muscular, hollow, pear shaped organ that resides in the pelvic cavity between the rectum and the urinary bladder
uterus
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fundus- lies superior to the opening of the fallopian tube
body- lies below the fundus
cervix- lies below the body. it is a tapered, narrow opening of the uterus into the vagina or neck
3 parts of the uterus
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endometrium- internal lining
mymetrium- muscular layer which is the largest layer
perimetrium- external layer of uterus
3 tissue layers of the uterus
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utero-vaginal junction
junction of the cervix and vagina
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vaginal cuff
area where the vagina covers the cervix
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parametrium
loose tissue around the uterus
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vascular supply bringing oxygenated blood to the uterus
right and left uterine artery
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anterior cul-de-sac
peritoneal pouch between the anterior wall of the uterus and the posterior wall of the bladder where the recto-uterine fold lies
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posterior cul-de-sac
peritoneal pouch between the anterior wall of the rectum and the posterior wall of the uterus where the vesico-uterine fold lies
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also called the uterine tubes, are attached and located on either side of the uterus within the peritoneal cavity. their function is to carry eggs from the ovaries to the uterus. fertilization usually occurs in the tube
fallopian tubes
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ampulla
the dilated distal end of a uterine tube terminating in a funnel-like infundibulum
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isthmus
the constricted portion (medial one-third) of the fallopian tubes nearest the uterus
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mesosalpinx
the mesentry around the fallopian tubes providing the blood supply. it is located in the upper part of the broad ligament
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fimbriae
the fringe-like extremities of the fallopian tube that lure the egg from the ovary into the tube
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a paired reproductive organ located on either side of the uterus that produces eggs and female sex hormones. they are attached to the uterus via the ovarian ligament. the infundibulopelvic ligament provides them with support to the lateral pelvic wall
ovaries
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mesovarium
the messentry around the ovary providing the blood supply. it is located in the broad ligament and holds the ovary in place
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right and left ovarian artery
vascular supply bringing oxygenated blood to the ovaries
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vagina
a hollow muscular canal that leads from the uterus to the external opening of the body. it is approximately 3-4 inches long
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6 suspensory ligaments
broad, round, ovarian, infundibulopelvic, uterosacral, cardinal
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the peritoneal fold which supports the uterus on both sides. they attach to the lateral abdominal wall to provide support
broad ligament
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ligament attached to the uterus immediately below the entrance to the fallopian tube. each extend laterally and anteriorly to the pelvic wall
round ligament
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suspensory ligaments of ovaries to uterus
ovarian ligament
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suspensory ligament of the ovaries to the abdominal wall. the ovarian artery is located in this ligament
infundibulopelvic ligament
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anterolateral support of distal portion of the uterus and cervix. the uterine artery passes thru the cardinal ligament
cardinal ligament
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ligament providing posteriolateral support for the distal portion of the uterus and cervix toward the sacrum on each side of the rectum
uterosacral ligament
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associated with the fallopian tubes, round ligament, ovarian ligament and broad ligament FROB
adnexa
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the peritoneum is cut and pulled over the bladder to expose the uterus for surgical procedures
bladder flap
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a hernia of the bladder that protrudes into the vagina
cystocele
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cyst of the ovary
ovarian cyst
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ovarian cyst with drkly pigmented content
chocolate cyst
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cyst made up of hair, teeth and bone
dermoid cyst
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a tumor made up of ectopic endometrial fragments
endomedtrioma
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the presence of endometrial tissue in abnormal places of the uterus
endometriosis
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to dissect paracervical fascia away from the uterine wall
extrafascial dissection
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extrauterine
located outside the uterus
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fibroids
non-cancerous fibrous tumor
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fimbroma
a tumor composed of fibrous tissue
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fimbriolysis
freeing of adhesions of the fimbria
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intrafascial dissection
to dissect paracervical fascia close to the uterine wall
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mastectomy
resection of all or part of the breast
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mesentery
the fold of peritoneum which attaches the intestine to the posterior abdominal wall
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myoma
a tumor consisting of muscle tissue
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paracervical fascia
tissue surrounding the lower uterus and cervix
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pedicles
the stem of a tumor
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perineum
area between the anus and vagina or anus and scrotum
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peritonealize
performed after a bladder flap, when the pelvic peritoneum is closed over the bladder, vaginal vault and rectum (reperitonealize means the same)
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rectocele
protrusion of a hernia of the vaginal wall with the anterior wall of the rectum thru the vagina
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uterine prolapse
the supportive ligaments relax causing the uterus to fall into the vagina
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abdominal hysterectomy
resection of the uterus thru an abdominal incision
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adnexectomy
excision or removal of adnexa
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colporrhaphy
surgical repair of vagina, also called A&P Repair (anterior-posterior)
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anterior colporrhaphy
surgical repair of cystocele by tightening the muscles for the anterior vaginal wall and removing excess mucosa
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posterior colporrhaphy
surgical repair of rectocele by tightening the muscles of the posterior vaginal wall and removing excess mucosa
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culdoscopy
examination of the viscera in the pelvic cavity of the female after introduction of an endoscope thru the wall of the vagina
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cystic enucleation
surgical procedure for cysts (chocolate dermoid)
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D&C (dilate and curatiage)
removal of inner lining of the uterus
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fimbriolysis
surgical freeing of adhesions of the fimbriae
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fimbrioplasty
reconstructive procedure for peripheral tubal occlusion
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hysterectomy
removal of the uterus
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hysterotomy
incision into the uterus
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LAVH
Laparoscopically Assisted Vaginal Hysterectomy
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myomectomy
resection of a muscle tumor thru a hysterectomy
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omentectomy
excision of a portion of an ovary
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oophorectomy
surgical excision of an ovary
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ovarian biopsy
removal of a small piece of ovarian tissue for examination
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ovarian cystectomy
surgical removal of a cyst formed on the ovary
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pan hysterectomy
excision of the uterus, fallopian tubes and ovaries
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radical hysterectomy
excision of the uterus, fallopian tubes, ovaries, supportive ligaments, proximal vagina and pelvic lymph nodes- usually done for cancer
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salpingectomy
excision of a fallopian tube
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salpinolsys
surgical freeing of adhesions located on the fallopian tubes
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salpingo-oophorectomy
excision of the fallopian tube and ovary
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bilateral salpingo-oophorectomy
excision of both fallopian tubes and ovaries
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salpingoplasty
surgical reconstruction of the fallopian tube
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salpingostomy
surgical opening into the fallopian tubes for drainage or for tubal pregnancy
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tubal ligation
ligation and divisions of fallopian tubes for female sterilization
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vaginal hysterectomy
resection of the uterus thru the vagina
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