Anatomy

Objectives:

To demonstrate and learn the pelvic surgical anatomy relevant to obstetric and gynaecological surgery.

The anatomical structures which are commonly involved in surgical injury will be reviewed, in particular the major vessels, nerves, ureter and bladder.

The surgical anatomy relevant to urinary incontinence surgery, hysterectomy, ovarian masses and retroperitoneal exploration of the pelvic side wall will be covered.

This session is aimed at revising and improving the participants’ knowledge and understanding of clinically relevant pelvic anatomy.

The first part of this session is an interactive review of pelvic anatomy facilitated by Ian Hammond and John Taylor. Active participation by the learners and all facilitators is encouraged during this review process.

Following the anatomy review, Paul McMenamin introduces and supervises the practical anatomy session including cadaver dissection and examination of prosected specimens that includes self directed learning materials. The practical anatomy session takes place in the Hill International Surgical Workshop which is next door to the seminar room.

This session requires satisfactory completion of a number of tasks during the cadaver dissection, as outlined below:

  • Dissect ureter from pelvic brim to the bladder.
  • Note anatomical relationships to vessels, muscles, nerves and viscera.
  • Dissect the vessels of the pelvic side wall.
  • Common iliac
  • External iliac
  • Internal iliac.
  • Branches of anterior division of internal iliac.
  • Uterine artery.
  • Dissect the obturator fossa and contents.
  • Identify obturator internus muscle.
  • Identify the obturator artery, vein & nerve.
  • Identify the ischial spine, pudendal vessels and levator ani muscle.