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The uterosacral ligaments (or rectouterine ligaments [1]) are major ligaments of uterus that extend posterior-ward from the cervix to attach onto the (anterior aspect of the [2]) sacrum. [ 3 ] Structure
The round ligament of the uterus is a ligament that connects the uterus to the labia majora. It originates at the junction of the uterus and uterine tube. It passes through the inguinal canal to insert at the labium majus. The two round ligaments of uterus develop from the gubernaculum; they are the female homologue of the male gubernaculum ...
The uterosacral ligaments are especially important in providing support to the uterus by attaching and holding the uterus, cervix, and upper vagina to the sacrum. [ 2 ] [ 3 ] Schematic of the female reproductive system with a frontal view. 43 depicts the pelvic floor muscles that support the uterus in the pelvic cavity.
The uterus is held in position within the pelvis by ligaments, which are part of the endopelvic fascia. These ligaments include the pubocervical ligaments, the cardinal ligaments, and the uterosacral ligaments. It is covered by a sheet-like fold of peritoneum, the broad ligament. [5]
The uterus contains three suspensory ligaments that help stabilize the position of the uterus and limits its range of movement. The uterosacral ligaments keep the body from moving inferiorly and anteriorly. The round ligaments restrict posterior movement of the uterus. The cardinal ligaments also prevent the inferior movement of the uterus.
The rectouterine fold is a bilaterally paired prominent ridge [1] /fold [2] of the peritoneum that represents the lateral boundary of the rectouterine pouch on either side. [1] [2] It is formed by the underlying rectouterine muscle.
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This is accomplished by bringing the edges of the vagina together and suturing them together and to the uterosacral ligaments to prevent prolapse. The peritoneum is also sewn into the newly created vaginal cuff. [1] There may be an advantage to using one method of closure over another. [3]