1. Anatomical and Physiological Substantiations of Operative Interventions on Pelvic Organs Associate-professor Kovryha M. F.

2. Osseous Basis of Pelvis

5. Suprapiriform foramen:
a. glutea superior
v. glutea superior
n. gluteus superior
Infrapiriform foramen:
n. gluteus inferior
a. glutea inferior
v. glutea inferior
n. pudendus
n.ischiadicus
a. pudenda interna
n. cutaneus femoris posterior.

6. Pelvic Compartments: Peritoneal compartment Subperitoneal compartment
Subcutaneous compartment (ischio-rectal fossa)

7. Pelvic Compartments

8. Female Perineum

12. Fasciae and Cellular Spaces of the Pelvis

14. Branches of the Internal Iliac Artery
Anterior trunk:
a. umbilicalis
a. uterina
a. vesicalis inferior
a. rectalis media
a. obturatoria
a. pudenda interna
Posterior trunk:
aa. sacrales laterales
a. iliolumbalis
a. glutea superior
a. glutea inferior

17. Sacral Plexus

20. Urinary Bladder

23. Ligamentous Apparatus of Uterus
Fixative apparatus:
- Cardinal ligament
- Sacrouterine ligament
- Pubovesical ligament
- Vesicouterine ligament
Suspending apparatus:
- Round ligament of uterus
- Wide ligament of uterus
Supporting apparatus:
Muscles and fasciae of pelvic bottom

25. Rectum and Anal Canal

26. Arteries of Rectum and Anal Canal

27. Veins of Rectum and Anal Canal

28. Types of Acute Paraproctitis
Subcutaneous
Ischiorectal
Pelviorectal
Submucous

29. Types of Pararectal Fistulae
а) subcutaneous; б) lower anal; в) higher anal; г) submucous; д) ischiorectal; е) pelviorectal

30. Paracentesis of Urinary Bladder

31. Thank You for Attention!