. The anatomy and surgical treatment of abdominal hernia. like the spermatic cord, takes anoblique course in its passage from the abdomen, before it emerges throughthe ring to be gradually lost upon the pubes; so that the inner ring istwo inches to the upper and outer part of the abdominal ring. As thisligament is much narrower than the spermatic cord, the opening corres-ponding to the abdominal ring in the male is much smaller; being, inthe female, not more than about half an inch in length, and a quarter ofan inch in breadth. On this account inguinal hernia is a much less frequentdisease in
. The anatomy and surgical treatment of abdominal hernia. like the spermatic cord, takes anoblique course in its passage from the abdomen, before it emerges throughthe ring to be gradually lost upon the pubes; so that the inner ring istwo inches to the upper and outer part of the abdominal ring. As thisligament is much narrower than the spermatic cord, the opening corres-ponding to the abdominal ring in the male is much smaller; being, inthe female, not more than about half an inch in length, and a quarter ofan inch in breadth. On this account inguinal hernia is a much less frequentdisease in the female than in the male. The female inguinal hernia, as in the other sex, passes out of the abdo-men midway between the ilium and pubes, under the edges of the in-ternal oblique and transversalis muscles; both of which, but especiallythe latter, form a semicircle over it, being attached to Pouparts ligamenton the outer side of the tumour, and after passing across it, are insertedinto the pubes on its inner side. The transversalis fascia given off by. OF INGUINAL HERNIA IN THE FEMALE. 171 Pouparts ligament runs directly upwards on each side of the tumour. Thehernia, therefore, descends through the inguinal canalto the external ring, and appears as a tumour about thesize of a pigeons egg in the upper part of the labiumpudendi. The appearance, however, of the tumour ispeculiar; unlike the inguinal hernia in the male, itseems to consist of two swellings connected at the ex-ternal abdominal ring; one contained in the inguinalcanal, the other in the labium pudendi. This arisesfrom the small size of the two apertures in the female,which yield with difficulty to the pressure of the her-nia. Below the abdominal ring, this hernia receives acovering from a fascia given off4 by the tendon of the external obliquemuscle, but much thinner than in the male; and above the ring it is co-vered by the tendon itself. The same symptoms characterize, and the same causes produce thedisease in the
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Keywords: ., bookcentury1800, bookdecade1840, bookpublisherphila, bookyear1844
