Pour les étudiants et les praticiens gynécologie . cervixto la paroi pelvienne postérieure, et quand il est bien développé peut résister à l'offre de déplacement vers l'excessive de l'utérus. Une petite branchof l'artère utérine accompagne chaque ligament. Ligamentscan ces être palpées par le rectum, et lorsqu'épaissi par inflam-matory ou autres processus morbides ils seront facilement d'avis. Les ligaments de l'utérus). transversacollis {ligamenta Ces structures, décrite par offirm Mackenrodt, sont des bandes de tissu fibreux, qui constituent des pièces spéciales de l'aponévrose pelvienne viscérale layerof. Aris

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Gynaecology for students and practitioners . cervixto the posterior pelvic wall, and when well developed may offer resist-ance to excessive forward displacement of the cervix. A small branchof the uterine artery accompanies each ligament. These ligamentscan be palpated through the rectum, and when thickened by inflam-matory or other morbid processes they will be readily felt. The Transverse Ligaments of the Cervix {ligamenta transversacollis). These structures, described by Mackenrodt, are bands offirm, fibrous tissue which form specialized parts of the visceral layerof the pelvic fascia. Arising in the neighbourhood of the ischial spines, they pass through the pelvic cellular tissue and are attached to thesides of the cervix and vaginal walls. Unlike the other uterine liga- THE UTERUS 29 ments, they have no special peritoneal covering. According to someanatomists they form part of the sheaths of the uterine arteries, whichreach the uterus at about the same level. The Ceivico-vaginal Insertion. The uterus is attached more firmly. Fig. 20. Showing the Uterus drawn forward and the Ovaries held ASIDE IN order TO DEMONSTRATE THE POFCH OF DOUGLAS AND THE UtERO- Sacral Folds, as seen during operation with the patient in the high PELVIC posture. to the vagina than to any other structure. The upper end of thevagina is inverted, forming a cup-shaped depression which receivesthe vaginal portion of the cervix. The fibro-muscular tissues of thecervix and vagina are intimately blended, and the stratified epitheliumof the latter is continued over the cervical surface up to the externalOS. Separation of the cervix from the vagina is impossible, exceptby cutting, as there is no intervening plane of cellular tissue, and thecontinuity of the two organs is complete. This intimate union 30 GYNAECOLOGY forms the principal support of the vaginal tube, which in theremainder of its course is surrounded by a sheath of loose cellulartissue. The Pelvic Floor. The structures composing the pelvi

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