The cavity of the uterus is most contracted at the point where the cervix
is united to the body, which here forms the _os uteri internum_; from this
point the cervix gradually dilates as far as its middle portion, when it
again contracts; its lower extremity terminates in the upper part of the
vagina by an anterior and posterior cushion-like projection, of which the
posterior is usually the longest, although from the direction of the
uterine axis the anterior is commonly felt lowest in the pelvis. Between
these there is a transverse fissure known by the name of _os tincæ_ or _os
uteri externum_, the lips or labia of which are formed by the two
above-mentioned prominences. The internal surface of the body of the
uterus is smooth, whereas that of the cervix is uneven, forming upon its
anterior and posterior wall a number of delicate rugæ diverging obliquely
in an arborescent form, and hence called the _arbor vitæ_. The lips of the
os uteri are smooth, except when slight lacerations have taken place
during labour.
In the virgin state the uterus is about two inches long, of which the
cervix occupies the smaller half: the greatest breadth of the body is
sixteen lines; that of the cervix from nine to ten. The uterus which has
been impregnated, especially when this has been frequently the case,
scarcely ever regains its original dimensions, and the fissure which the
os tincæ forms becomes broader from before backwards. The weight of an
adult virgin uterus is from seven to eight drachms, but the uterus which
has been once impregnated is seldom less than an ounce and a half. It lies
between the bladder and rectum, its upper half being covered by
peritoneum, which closely adheres to it. In the adult state it is situated
entirely in the cavity of the pelvis; the fundus, which is below the upper
edge of the symphysis pubis, is turned forwards and upwards, while its
mouth is directed downwards and backwards, so that its long axis is nearly
parallel to the axis of the superior aperture of the pelvis.
The uterus is connected to the neighbouring parts by several duplicatures
of peritoneum, which are continuous with that portion of it which covers
the fundus. The most considerable are the _broad_ or _lateral ligaments_:
these arise from the sides of the uterus, which is enclosed between their
anterior and posterior layers or laminæ; they proceed transversely
outwards towards the sides of the pelvic cavity, which is thus divided
into two portions, and are then continued into that portion of the
peritoneum which lines the cavity.
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