Operative surgery, for students and practitioners . n Scarpas triangle, and accompanies it down alongthe inner side of the thigh, through Hunters canal. At the lowerend of the canal, where the femoral vessels pass through the ad-ductor foramen into the popliteal spac« and just above the internalcondyle, the nerve becomes more superficial, lying beneath the sar-torius; below the knee-joint it l)ecomes subcutaneous, and runs downthe inner side of the leg in company with the internal saphenous vein,and supplies the skin of the leg. Ligation of the Femoral Artery. The Common Femoral.—The common fe
Operative surgery, for students and practitioners . n Scarpas triangle, and accompanies it down alongthe inner side of the thigh, through Hunters canal. At the lowerend of the canal, where the femoral vessels pass through the ad-ductor foramen into the popliteal spac« and just above the internalcondyle, the nerve becomes more superficial, lying beneath the sar-torius; below the knee-joint it l)ecomes subcutaneous, and runs downthe inner side of the leg in company with the internal saphenous vein,and supplies the skin of the leg. Ligation of the Femoral Artery. The Common Femoral.—The common femoral is sometimes ligated as a ])ivliininary to exartic-ulation of the thigh at the hip-joint. The vessel is ligated immediatelybelow Pouparts ligament, above the origin of the profunda femorisbranch, where it is quite superficial. 758 LOWER EXTREMITY. An incision about two inches long is madC;, commencing above,at the middle of Ponparts ligament; , at a point midway betweenthe anterior superior iliac spine and the spine of the pubes. This. Fig. 335.—Ligation of Femoral Artery. CF, incision for ligation of commonfemoral; F, incision for ligation of femoral in Scarpas triangle, incision passes through the skin and fat down to the deep fascia;, thefascia lata. The pulsation of the artery may be readily felt withthe finger in the wound. THIGH. 759 Tlie deep fascia is incised and tlie artery exposed by strippingaway its connective-tissue sheath. An aneurism needle, carrying acatgut ligature, is passed around the vessel from within outward,—, between the vein and artery,—and tlicii withdrawn, thus leavingthe artery surrounded by the ligature, which is tied. The femoralvein, which lies to the inner side of the artery, can be tied at thesame time, through the same incision. The wound is closed withseveral interrupted sutures. This procedure makes the exarticula-tion at the hip-joint practically a bloodless operation. The Femoiial in Scarpas Triangle.—The femoral ar
Size: 967px × 2584px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookauthormcgrathj, bookcentury1900, bookdecade1910, bookyear1913
