Operative surgery . VASTUS inte:rnas. FEMORAL VEIN. FEMORAL ARTERY. I LONG SAPHENOUS\ NERVE. 5ART0RIUS MUSCLE. Fig. 190.—Ligature of femoral artery. a. Ligature of common femoral, h. Ligature of superficial femoral at apex of Scarpastriangle, c, d. Ligature in Hunters canal. THE LIGATURE OP ARTERIES. 145 The Second Situation—Superficial Femoral.—At the apex of Scarpastriangle (Fig. 190, &), or about four inches below Pouparts ligament. Anatomical Points.—The saphenous vein runs along the inner side ofthis region, and can be located by pressing it above, thus causing distention. Fig. 191.—Trans
Operative surgery . VASTUS inte:rnas. FEMORAL VEIN. FEMORAL ARTERY. I LONG SAPHENOUS\ NERVE. 5ART0RIUS MUSCLE. Fig. 190.—Ligature of femoral artery. a. Ligature of common femoral, h. Ligature of superficial femoral at apex of Scarpastriangle, c, d. Ligature in Hunters canal. THE LIGATURE OP ARTERIES. 145 The Second Situation—Superficial Femoral.—At the apex of Scarpastriangle (Fig. 190, &), or about four inches below Pouparts ligament. Anatomical Points.—The saphenous vein runs along the inner side ofthis region, and can be located by pressing it above, thus causing distention. Fig. 191.—Transverse section ai uppiT tliinl of right Profunda artery and vein. B. Long saphenous nerve. C. Common femoral arteryand vein. D. Internal saphenous vein. U. Semimembranosis. F, H. Gluteal ves-sels. G. Sciatic nerve. below. The femoral vein lies to the inner side, somewhat more posteriorlyhere than above (Fig. 192). Branches of the internal cutaneous nerve lie infront, and the long saphenous lies deeper and to the outer side of the vessel. The Operation.—Place the limb as in the preceding operation, and makean incision about four inches in length along the inner border of the sar-torius muscle; divide the tissues down to the fascia lata, draw the sartoriusto the outer side, and the pulsation of the vessel can be felt and perhapsseen beneath the fascia; cautiously open the fascia lata and the sheath ofthe vessel, and pass the needle from within outward. The presence of abroad sartorius muscle diminishes the size of the triangle, correspondinglycovers the vessel
Size: 1649px × 1515px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookauthorbryantjosephdjosephde, bookcentury1900, bookdecade1900
