Summary
Samenvatting topografie van het urogynaecologisch stelsel
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Alles van te kennen topografie, met afbeelding, duidelijke uitleg etc.. - het urogynaecologisch stelsel.
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TOPOGRAFIE: HET UROGENITALE STELSEL3 regio’s:
1. Canalis inguinalis en canalis testis
2. Kleine bekken
3. Bekkenbodem (diafragma pelvis) en het perineum
Het benig ligamentair bekken
Boekje 1 p. 420:
A.v.n. obturatorius
De nervus obturatorius daalt na de aftakking van de plexus lumbaris achter de musculus
psoas major, loopt door het kleine bekken en loopt via een zenuwkanaal in de dij. Daar is een
aftakking van motorische zenuwen naar de musculus obturatorius externus.
1
, A.v.n. glutea superior
naar m. gluteus medius en minimus
door foramen suprapiriforme
A.v.n. glutea inferior
naar m. gluteus maximus
door foramen infrapiriforme
A.v.n. pudenda interna
in foramen infrapiriforme
dorsaal van de m. gemellus superior en tegen de m. obturatorius internus
A.v.n. pudendus
in foramen infrapiriforme
dorsaal van de m. gemellus superior en tegen de m. obturatorius internus
Nervus ischiadicus
onder de m. piriformis (soms gespleten spier); door foramen infrapiriforme
N. cutaneus femoris posterior
door foramen infrapiriforme
2
, Boekje 2
Linea terminalis
= osseuze begrenzing tussen pelvis minor en maior
Promontorium
= bovenste vlak van het os sacrum
Model van een sagittale doorsnede van het vrouwelijke kleine bekken, regio inguinalis en
perineum
Diaphragma pelvis = m. levator ani + m. ischiococcygeus
M. levator ani
o M. pubococcygeus (bovenste)
o M. iliococcygeus
o M. puborectalis (onderste)
3
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