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Topographical Anatomy for Hysterectomy Procedures

  • Thilo WedelEmail author
Chapter
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Abstract

“Anatomia clavis et clavus medicinae est” – anatomy is the key and rudder of medicine. This notion made more than four centuries ago (Wilhelm Fabry von Hilden, 1560–1634, “father” of German surgery) still holds true today – especially for surgical procedures carried out in an anatomical region as complex as the pelvic cavity. In fact, profound knowledge of pelvic anatomy is fundamental to carry out properly and safely the different types of hysterectomy both for benign and malignant diseases. The latter indications are particularly challenging, as the surgical aim for radical hysterectomy should be twofold: (1) complete and oncologically curative removal of the tumor-bearing organ package including potential tumor drainage routes along embryologically defined planes and compartments; (2) optimal preservation of surrounding organs, blood vessels and nerves, especially of those autonomic nerve plexus responsible for mediating micturition and urinary continence, defecation and fecal continence, as well as sexual functions. Thus, the aim of this chapter is to provide an overview of the topographic anatomy of the female pelvis and adjacent regions and to highlight those anatomical landmarks relevant for the spectrum of hysterectomy procedures.

Keywords

Uterus Uterine adnexa Uterine ligaments Parametrium Mesometrium Uterine artery Pelvic lymph nodes Paraaortic lymph nodes Autonomic pelvic nerves Ureter Greater omentum Anterior abdominal wall 

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Copyright information

© Springer International Publishing Switzerland 2018

Authors and Affiliations

  1. 1.Institute of Anatomy, Center of Clinical Anatomy, Christian-Albrechts-University of KielKielGermany

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