••• Chapter 1^ Anatomy of the Pelvis and Reproductive Tract^13
❍ During a speculum exam, you notice a lesion on the patient’s cervix. It can be defined as a retention cyst of
endocervical columnar cells. What do you call this lesion?
Nabothian cyst.
❍ What structures are formed from the mesonephric duct?
Ureter, renal pelvis, renal calyces, and collecting tubules of kidneys.
❍ What are the boundaries of the paravesical space?
Pubic symphysis (anterior), bladder (medial), obturator internus muscle (lateral), and parametria (posterior).
❍ What are the boundaries of the pararectal space?
Rectum (medial), parametria (anterior), sacrum (posterior), and internal iliac (lateral).
❍ How is the parametria defined during a radical hysterectomy?
By developing the paravesical and pararectal spaces.
❍ A patient is undergoing an inguinal lymph node dissection for vulvar cancer. What are the boundaries
of the inguinal triangle?
Sartorius muscle (lateral), inguinal ligament (superior), and adductor longus (medial).
❍ What is another name for the inguinal ligament?
Poupart’s ligament.
❍ Are the inguinal lymph nodes medial or lateral to the femoral artery?
Medial.
❍ As you start a hysterectomy and are transecting the round ligament, you encounter bleeding. What vessel
is bleeding?
Sampson’s artery.
❍ You are rounding on a post-op patient who is post-op day 1 after a complicated TAH in which you used the
Bookwalter self-retaining retractor for 6 hours. The patient complains of numbness of the labia and upper
medial thigh without motor deficits. She also states she has paresthesias and pain that radiate down the
anterior and posterior-lateral aspect of the thigh toward the knee. What nerves may have been affected?
Genitofemoral and lateral femoral cutaneous nerves.