Art.Fem V. Fem.

V. Lig. Rotondo davanti

al canale inguinale

Traitement : Section-ligature et

fermeture du canal inguinal

Diagnostic con echo-

doppler : veine

refluante en Valsalva,

au-dessus et en dedans

de la V.fem.Com.en

dedans de l’art

Epigastrique Inf.

Point i

droit

Punto I o P

A B C

Section-ligature et fermeture aponevrose en A

Point I

Point I

Branche

ischio-

pubienne

Point P

Cavié

vaginale

: Voie trans pariétale périnéale

sonde linéaire haute fréquence

Point P

J 30

J 30

ULCERE VEINEUX

ULCERE VEINEUX

PUNTO DI FUGA PORTALE

ULCERE VEINEUX

i P

o P

p P

c P

s g P

ig P

i P

o P

p P

c P

g s P

g s P

Inguinal Point

Obturator Point

Clitoris Point

Perineal Point

Superior gluteal Point

Inferior gluteal Point

Five Escape points on the right

Five Escape points on the left

Pgs

Pgi Pp

Pc

Po

Pi

uterus vessie

vagin

Rappel anatomie « classique » et interpretation

Point i Anulus

inguinalis

sup

Point P fascia

perinei Apon.suerficielle

Vena

ligt.rotondo

Canale

inguinale

Anulus

inguinalis

prof.

V.Pudenda

interna

M.Transversus prof

(diaphragma urogenitale)

Vena Perinei

Fascia Perinei

Vena Perinei Vena bulbo

Clitoridi

Anastomosi omolatrerali e

controlaterali V.Lig.Teres-Rami e

Tronco della Safena magna.

Punto I Anulus

inguinalis sup

Canalis inguinalis +

Vena lig. Teres uteri

Anastomoses omolaterales

et controlaterales

V.Lig.Teres-Rami e Tronco

della Safena magna.

Point P Fascia

perinealis

The Clitoris Point is born

C point

Claude Franceschi 27 Fevrier 2006

clit

CFV

EXT PUD EXT PUD EXT PUD EXT PUD

EXT PUD

EXT PUD EXT PUD CFV

EXT PUD

clit

Female, 2 pregnancies, varicosities limited to the anterior

saphena

Duplex US from the crosse to the clitoris

Valsalva maoneuvre

Canalis pudendalis

Alcocki

Labium major

1 Vena pudenda interna 5 Vena perinei

6 Vena labialis ant.

8 Safena magna

M.Transversus prof

(diaphragma urogenitale)

Fascia diaph.urogen.sup

Fascia diaph.urogen.inf

Labium minor

Clitoris

pP 4

1 6

3 Plexus ven. Commnicans (Clit.

Et Bulbus vest.) Clitoris point cP

cP

2 Vena Bulbi Vestibuli

9 Plexus labialis

2 5

5

6

3

4 Vena clit. subcutanea

7 Vena pudenda externa

7

7

8

9

cP:clitoris Point

pP:perineal Point

Reflux from C point: anastomoic

plexus between the bulbar vein

and superficial dorsal clitoris

vein

1

2

5

7 8

9

2 Vena Bulbi Vestibuli

3 Plexus ven. Commnicans (Clit.

Et Bulbus vest.) Clitoris point cP

1 Vena pudenda interna

4 Vena clit. subcutanea

5 Vena perinei

6 Vena labialis ant.

8 Safena magna

9 Plexus labialis

7 Vena pudenda externa

cP:clitoris Point

pP:perineal Point

2

6

7

pP

iP

iP:inguinal Point

4

cP 3

P point

I point

C point

P point

I point

C point

Plexus ven. Commnicans

(Clit. Et Bulbus vest.):

During Valsalva

maneuvre, reflux from

Internal Pudendal vein

into Anterior Saphena

varicose vein through

retrograde flow in bulbar

vein, Plexus Ven.

Communicans (Clit. Et

Bulbus vest.), Dorsal

Clitoris Vein and External

Pudendal

clit