. The anatomy and surgical treatment of hernia. y with the fascia transversalis. arch. C. Aponeurosis of the obliquus externus de- /. Radiating fibers which terminate upon thetached and turned down upon the thigh. inside canal of the external oblique, and which, D. Fascia transversalis. passing behind the internal column of the inguinal E. Funnel-shaped prolongation of the fascia ring, are attached to the linea alba,transversalis around the spermatic vessels to form K. Internal pillar of the inguinal ring at-their sheath. It has been opened at its upper and tached to the front part of the symp


. The anatomy and surgical treatment of hernia. y with the fascia transversalis. arch. C. Aponeurosis of the obliquus externus de- /. Radiating fibers which terminate upon thetached and turned down upon the thigh. inside canal of the external oblique, and which, D. Fascia transversalis. passing behind the internal column of the inguinal E. Funnel-shaped prolongation of the fascia ring, are attached to the linea alba,transversalis around the spermatic vessels to form K. Internal pillar of the inguinal ring at-their sheath. It has been opened at its upper and tached to the front part of the symphysisanterior part. pubis. F. Proper sheath of the spermatic vessels. M. Spermatic vessels, surrounded by their G. G. Fascia transversalis arising from the sheath, and covered by the fibers of the cremasterposterior border of the aponeurosis of the external muscle. oblique (crural arch), and with which it forms a N, N. Inverted loops or arches formed by the deep channel. fibers of the cremaster muscle. * Cloquet, Plate II. Plate L XT. A ^ \, A. CONDITIONS RENDERING SURGICAL PROCEDURES JUSTIFIABLE. 37; O. Internal fasciculus of the cremaster pass- formed by the union of the vena saphena and ing behind the inner column of the inguinal ring femoral be fixed at the pubes. Z. Point at which the deep and superficial F. External fasciculus of the cremaster pass- layers of the fascia lata join each other,ing out of the corresponding part of the inguinal i. Femoral artery. Ordinarily this artery is ring. entirely covered by the superficial layer of the Q. Epigastric artery. fascia lata, the femoral vein only being seen R. Dotted lines indicating the course of the through the inferior opening of the crural canal,epigastric artery behind the fascia transversalis, 2. Femoral vein. after having crossed the direction of the spermatic 3. Fibro-cellular prolongation from the open-vessels, ing of the vena saphena, which descends upon this ^. Testis. vein and becomes intimately connected


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Keywords: ., bookcentury1800, bookdecade1890, booksubjecthernia, bookyear1892