Morphological methods in the study of the anatomy and topography of the human pelvic organs and structures in the fetal period of ontogenesis

Abstract

Aim to identify the features of the use of various morphological methods, their informative value, advantages and disadvantages in studying the topographic anatomy of organs and structures of the fetal pelvis of the fetus. Material and methods. The study was carried out on the material of 100 human fetuses of both sexes using classical morphological methods (macromicropreparation, the method of cutting according to N.I. Pirogov, histotopographic method). Results. Macromicroscopic dissection in the study of pelvic organs in prenatal ontogenesis makes it possible to determine the position of organs and structures, their course and direction, symmetry with respect to paired organs. Dissection makes it possible to identify vascular and nerve structures, which is necessary when interpreting data obtained using other methods. Dissection does not allow to determine the skeletotopy of the organs and structures of the pelvis, their relative position relative to each other and bone structures, the relationship with the walls of the pelvic cavity. The use of the method of cutting according to N.I. Pirogov and the histotopographic method made it possible to describe of all horizontal sections from the LIII level to the subcutaneous floor of the perineum, as well as clinically important sagittal and frontal sections, was given. These methods allow us to define the skeletotopy of the organ, its relationship with the walls of the pelvic cavity, to study the ratio of the volume of the occupied organ in the cavity, as well as measure distances. The histotopographic method makes it possible to study in detail the internal structure, microtopography of organs and neurovascular complexes of the pelvis. This is the most informative method when studying the perineum. The article presents photographs of preparations demonstrating the features of the topographic anatomy of the fetal pelvis. Conclusions. It is possible to study in detail the topographic anatomy of the fetal pelvis, as well as to give a detailed description of the skeletotopy and syntopy of each organ only when using the complex of morphological methods presented. Using this approach, the data obtained will be useful to specialists of prenatal diagnostics, as well as during fetal operations.