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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
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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 cervix uteri (neck of the uterus) is thus the uterine cervix, but in English the word cervix used alone usually refers to it. Thus the adjective cervical may refer either to the neck (as in cervical vertebrae or cervical lymph nodes) or to the uterine cervix (as in cervical cap or cervical cancer).
The supravaginal portion of the cervix (also known as the uterine portion of the cervix) is separated in front from the bladder by fibrous tissue (parametrium), which extends also on to its sides and lateralward between the layers of the broad ligaments.
The rectouterine (or recto-uterine) pouch is also called the rectouterine excavation, uterorectal pouch, rectovaginal pouch, pouch of Douglas (after anatomist James Douglas, 1675–1742), Douglas pouch, [6] Douglas cavity, [6] Douglas space, [6] Douglas cul-de-sac, [6] Ehrhardt–Cole recess, Ehrhardt–Cole cul-de-sac, cavum Douglasi, or excavatio rectouterina.
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 ...
They can be defined in slightly different ways: Some sources define the adnexa as the fallopian tubes and ovaries. [1]Others include the supporting tissues". [2]Another source defines the appendages as the "regions of the true pelvis posterior to the broad ligaments".