The _round ligaments_ arise from the sides of the uterus close beneath and
a little anterior to the uterine extremity of the Fallopian tubes. They
pass between the two layers of the broad ligaments, behind the umbilical
arteries, and before the iliac vessels, in a direction upwards and
outwards to the external opening of the inguinal canal; they then make a
turn round the epigastric artery downwards, inwards, and forwards, and
pass through the abdominal ring, and dividing into numerous fasciculi and
fibres are gradually lost in the cellular substance of the mons Veneris
and upper portion of the labia. Besides consisting of cellular substance
and blood-vessels, the round ligaments contain some very distinct bundles
of muscular fibres, of which the upper arise from the external layer of
uterine fibres, and the lower from the inferior edge of the internal
oblique muscle, and pass upwards.
Upon a superficial examination, the structure of the uterus would almost
seem to be homogeneous, nevertheless a number of reddish yellow strata
interspersed with whitish streaks running from behind forwards may be
perceived even in the unimpregnated state; between these strata the
vessels of the uterus take their course, forming numerous anastomoses.
There is much difference of opinion among anatomists as to the fibrous
structure of the uterus. The majority however agree as to the presence of
muscular fibres,[9] some considering that they always exist, while others,
and by far the greater number, consider them as appearances peculiar to
pregnancy: they are, it is true, extremely indistinct in the unimpregnated
state, but they are far from being peculiar to pregnancy, as they are
frequently developed by any circumstances by which the formative powers of
the uterus are excited. Thus in cases where the uterus has been much
distended by some anormal growth, its fibres become much developed and
distinctly fasciculated. Lobstein observed them very distinctly in a
uterus which had been distended to the size of a seven months' pregnancy
by a fatty tumour.
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