Anatomy - Salpingectomy, laparoscopic, robot-assisted laparoscopy (DaVinci)

  1. Ovary (Ovarium)

    Ovary (Ovarium) 1
    Ovary (Ovarium) 2

    The ovary (Ovarium) is located laterally in the pelvic region and is oriented vertically. It has an inner surface facing the pelvic interior (Facies medialis/intestinalis) and an outer surface directed towards the lateral pelvic wall (Facies lateralis). The rounded free edge is called the Margo liber, and at the anterior edge, the Margo mesovaricus, the mesovarium is attached, which is a structure of the broad ligament of the uterus (Lig. latum uteri).

    There are two poles: 

    • Extremitas uterina
    • Extremitas tubaria

    The hilum ovarii, where vessels and nerves enter, is located at the attachment of the connective tissue of the ovary, known as the mesovarium, at the Margo mesovaricus.

    The ovary is connected at the Extremitas tubaria to the pelvic wall by the suspensory ligament of the ovary. The ovarian vessels (Vasa ovarica), lymphatic vessels, and nerves run along this suspensory ligament.

    The proper ovarian ligament lies between the ovary (Extremitas uterina). This is located directly behind the tubal angle. The artery R. ovaricus of the uterine artery runs here. 

    The ovary is supplied by: 

    • A. ovarica
    • Ramus ovaricus from the uterine artery.

    These arteries form anastomoses at the Margo mesovaricus and supply the ovary with blood. 

    Veins transport venous blood via the right ovarian vein to the inferior vena cava and via the left ovarian vein to the left renal vein. Part of the blood flows through the uterine plexus to the internal iliac vein.

    The ovary is located in the abdominal cavity (intraperitoneal) in the ovarian fossa. Here, in the retroperitoneum, run the obturator nerve, obturator vessels, and the external iliac vessels. Medially, the umbilical artery and the uterine artery also run.

  2. The fallopian tube (Tuba uterina, Salpinx)

    The fallopian tube (Tuba uterina, Salpinx)

    The fallopian tube, also known as the Tuba uterina, is approximately 10-15 centimeters long and 2-5 millimeters thick. It runs intraperitoneally along the upper free edge of the broad ligament of the uterus (Ligamentum latum uteri), from the corner of the uterus to the ovary. In the mesosalpinx, the blood vessels and nerves run to the fallopian tube, additionally securing the fallopian tube to the Ligamentum latum.

    The fallopian tube itself can be divided into different sections:

    • Infundibulum tubae uterinae (+ Ostium abdominale tubae uterinae)
    • Fimbriae tubae uterinae,
    • Ampulla tubae uterinae
    • Isthmus tubae uterinae
    • Pars uterina.

    The blood supply of the Tuba uterina is provided by small branches (Rr. tubarii) from the arteries A. ovarica and A. uterina, which run in the mesosalpinx and anastomose with each other. Veins accompany the arteries and drain into the V. ovarica and into the uterine/uterovaginal plexus.

The uterus

The uterus, also known as the womb, is a hollow, muscular organ in the female body that plays an im

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