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Which of the following structures during surgery would disrupt the most blood flow to the ipsilateral ovary? A 57-year-old woman is scheduled for an elective hysterectomy.



A. Cardinal ligament
B. Fallopian tube
C. Round ligament
D. Suspensory ligament
E. Ureter
Asked by Farrar, Last updated: Jan 10, 2020

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2 Answers

L. Hawkes

L. Hawkes, Teacher, Memphis

Answered Jan 28, 2019

A woman may need to get a hysterectomy due to problems in the uterus. When a hysterectomy takes place, then the woman’s uterus is being removed through this surgical procedure. Even though many women may want a hysterectomy and there are many hysterectomies done every year, this is actually a very big surgery.

There are other parts that may also be taken out depending on the woman’s problems including the fallopian tubes, cervix and ovaries. If a young woman about the age of 57 is scheduled for an elective hysterectomy, then she still needs to take precautions.

You do not want a disruption of the blood flow, but you might to specific organs. Therefore, you may want a suspensory ligament to be a structure during surgery to disrupt the blood flow to the ovary.

 

John Smith

John Smith

Answered Sep 09, 2016

Suspensory ligament-the correct answer is d. the suspensory ligaments (also known as the infundibulopelvic ligaments) contain the ovarian arteries that give direct blood supply to the ovaries. the ovaries also receive collateral flow from the uterine arteries that travel in the transverse ligament within the broad ligament.answer a is incorrect. the cardinal ligament carries descending branches of the uterine artery. severing the cardinal ligament should not significantly decrease blood flow to the ovary.answer b is incorrect. the fallopian tubes carry the ova from the ovary to the uterus during ovulation. severing this structure would disrupt normal fertilization but would not significantly affect blood flow to the ovary.answer c is incorrect. the round ligament runs inferior to the ovary before attaching to the uterus. it is not a direct source of blood supply for the ovary.answer e is incorrect. the ureters run directly inferior to the uterine arteries before feeding into the bladder. remember: water under the bridge. severing this structure would not affect ovarian blood flow.
 

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