title: [Applied aspects of topographic-anatomical interrelations of female pelvic organs and cellular spaces].
abstract: The study of an autopsy material, obtained from females aged 15-74 years (145 organ complexes), using the classical anatomical research methods, resulted in the topographic-anatomical substantiation of transvaginal surgical accesses to subperitoneal and peritoneal pelvic floors taking into account the variants of the uterus position. The projection-syntopic correlations of subperitoneal and peritoneal structures with vaginal fornix were examined, the latter was divided for this purpose into the limited areas--vaginal segments. It was found that the transvaginal accesses in the uterus position of the anteversio-anteflexio and retroversio-retroflexio (with more common symmetrical rela tions between the pelvic structures and vaginal fornix), should be performed in the projection of vaginal segments 10.5-1.5 and 5.5-6.5. Due to asymmetric projection-syntopic relations of subperitoneal and peritoneal pelvic structures with vaginal fornix, the optimal accesses are recommended in the projection of vaginal segments 12-1.5, 11.5-2 and 6-6.5 in sinistroversio, sinistropositio with a clockwise uterine rotation, while in dextro-positio and counterclockwise uterine rotation, the accesses in the projection of vaginal segments 10.5-12, 10.5-1, 6-5.5 and 6-5 are preferable.
authors: S V
authors: SV
authors: Smelov
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D005836:Genitalia, Female / Q000033:anatomy & histology; D006801:Humans; D008875:Middle Aged; D010388:Pelvis / Q000033:anatomy & histology*