anatomi fisiologi panggul
DESCRIPTION
anatomiTRANSCRIPT
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ANATOMI PANGGUL
IBNU PRANOTOSubbagian Uroginekologi dan Rekontruksi
Bagian Obstetri dan Ginekologi FKUGM Jogyakarta
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ANATOMI ALAT GENITAL
Perubahan anatomi o.k. kehamilan,partus, umur, menopause.
Anatomi :kadaver, teranetesi berbeda dng waktu berdiri.
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PENDAHULUAN
PELVIC FLOOR Terdapat 3 lapisan :
1.FASCIA Fascia Parietal Fascia Visceral2.MUSCLE
M.Levator ani & m.Coccygeus / Diafragma pelvis 3.PERINEAL MEMBRANE
( Diafragma Urogenital)
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Ligamentum dan tulang panggul1.Pelvis : 2 tulang panggul , sakrum dan koksigeusTulang panggul (ossa coxae ) terdapat 3 tulang yang bersatu pada acetabulum : ilium , ischium , pubis.Dua bagian pubis berhubungan di simfisis ossis pubishisis oleh 4 ligamentum : anterior, posterior, superior dan inferior (ligamen arkuatum).2. Foramen ishiadika major
Batas foramen :-Inf-or & post-or border : lig. sacrotuberosus- Inferior border : lig. sacrospinosus- Anterior border : ischium- Superior border :lig. sacroiliac- Posterior border : sacrum
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3. Foramen ishiadika minorTerletak dibawah lig. Sakrospinosum yang merupakan jalan tendo m. obturator internus ke arah dan menempel ke femur.
4. Foramen ObturatoriaMerupakan bentuk oval yang dibentuk setengah bagian tulang
ileum dan pubisBatasnya :
superior : ramus pubis superior dan pubisinferior : ischiumanterior : ramus pubis inferior dan ramus ischiiposterior : tulang ischium + pubis
5. Ligamentum Cooper Berjalan posterior lateral dari tuberkulum pubikum, terus ke linia arkuata os iliaka ke promontorium.
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Dinding panggul merupakan 4 dinding dan satu dasar panggul.Dinding depan: simfisis pubis belakangDinding belakang : sakrum (tengah) + piriformis Dua dinding samping : m. obturator internus
Dasar panggul dibentuk oleh m. levator ani dan m.coccygeus
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THE PERINEUM
Merupakan bagian inferior inferior m. levator ani Bagian antero-lateral ramus ischiopubis dan tuberositas
ischii dan posterolateral borders oleh 2 lig. sacrotuberum Fossa Ischiorectal : berisi jaringan lemak- fibrous
dengan jaringan lemak, a/v/n pudenda Perineal Body : berfungsi penutupan introitus vagina Perineal membrane: vagina dan uretra terfiksasi padam
membrana perianal
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TERIMA KASIHTERIMA KASIH