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Knowledge of Laparoscopic Pelvis Anatomy is essential for Surgeon, Gynecologist and Urologist
General Surgery / Apr 29th, 2013 2:15 am     A+ | a-
 

The laparoscopic view is essentially a posterior approach view. The pelvic cavity can be a body cavity that is certainly bounded from the bones from the pelvis and which primarily contains reproductive organs along with the rectum. A laparoscopic surgeon should always look for the medial umbilical ligament & lateral umbilical ligament before starting any laparoscopic surgery. Expose these structures: Coopers lig, testicular vessels, deep ring, space of Bogros. Avoid dissection in the triangles. Beware of untoward dissection around Coopers ligament. No staples/sutures lat or below the iliopubic tract. Laparoscopic surgeons should 1st fixation to Coopers ligament and then adequate dissection to place the mesh.

A distinction is done between the lesser or true pelvis inferior towards the terminal line, and the greater or false pelvis above it. The pelvic inlet or superior pelvic aperture, which leads in the lesser pelvis, is bordered through the promontory, the arcuate distinctive line of ilium, the iliopubic eminence, the pecten from the pubis, as well as the upper part of the pubic symphysis. The pelvic outlet or inferior pelvic aperture could be the region between the subpubic angle or pubic arch, the ischial tuberosities and the coccyx. 
 
Bilaminar structure; sup the 2 layers are distinct & inf they insert onto the Coopers ligament. The ant layer is adherent to the rectus abdominis. The posterior layer lies betwn ant layer & peritoneum. It divides this space into an ant vascular & a posterior avascular( Bogros) space. Bridges the space betwn the TA arch sup & the ing + Coopers ligament inferior ‘Achilles heel’ of the groin  direct herniation.
 
 
The pelvic cavity is really a body cavity that is bounded from the bones with the pelvis and which primarily contains reproductive organs along with the rectum. A distinction is done relating to the lesser or true pelvis inferior for the terminal line, and also the greater or false pelvis above it. The pelvic inlet or superior pelvic aperture, while in to the lesser pelvis, is bordered by the promontory, the arcuate line of ilium, the iliopubic eminence, the pecten from the pubis, as well as the upper the main pubic symphysis. The pelvic outlet or inferior pelvic aperture will be the region between the subpubic angle or pubic arch, the ischial tuberosities and the coccyx.

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4 COMMENTS
Dr. Marker
#1
Jun 13th, 2020 1:50 pm
Excellent Laparoscopic Pelvis Anatomy video. Dr. Mishra puts a lot of effort into teaching. We greatly appreciate it. Thanks for sharing this informative video.
Dr. Punit Kumar
#2
Jun 13th, 2020 1:55 pm
Very useful knowledge given by you Sir, I loved this course and Dr. Mishra is a great teacher. I feel like I learned more than my grades reflect.
Dr. K. N Mishra
#3
Jun 16th, 2020 5:08 am
Such a great lecture on Laparoscopic Pelvis Anatomy. Awesome lecture nice to see a full explanation with the visuals too, great video! Thank you so much...
Dr. Reetu
#4
Jun 16th, 2020 5:14 am
Thank you for explaining the Laparoscopic Pelvis Anatomy video so well and for making this video. It increases my knowledge. This is super informative, personally I learned a lot from it.
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