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Which of the following structures identification and incision attachment to the cervical region and extends posteriorly is most appropriate in this patient? A 55-year-old woman is scheduled to undergo transvaginal hysterectomy and oophorectomy for dysfunctional uterine bleeding. During the procedure, the uterus must be separated from all surrounding pelvic structures.
A. Mesometrium
B. Mesosalpinx
C. Mesovarium
D. Ovarian ligament
E. Round ligament of the uterus
F. Uterosacral ligament

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NBME 13 section 1 (qst 1-50)
Asked by Aaliyah, Last updated: Jul 13, 2020

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2 Answers

Y. Dawne

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Y. Dawne, Content Blogger, Diploma in Journalism, Amsterdam, Netherlands

Answered Feb 07, 2019

The uterosacral ligament supports the uterus from behind. This uterus is further supported by the pelvic floor muscles below. The ligaments attached travel from the uterus to the anterior aspect of the sacrum. These ligaments strongly support the cervix.

A hysterectomy is a surgical procedure by which uterus is usually removed through the vagina, whereas an oophorectomy removes one or both ovaries. Abnormal uterine bleeding is irregular uterine bleeding that occurs in the absence of recognizable pelvic pathology, general medical disease or pregnancy.

 

John Smith

John Smith

Answered Sep 10, 2016

Uterosacral ligament
UTEROSACRAL LIGAMENT, a ligament that extends from the cervix to the posterior pelvic wall. It is thought to help stabilize the uterus in the pelvic cavity
 

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