. The anatomy and surgical treatment of hernia. elower border of the transversalis and the internal oblique muscles blend in an inter-woven connective-tissue sheath, called the conjoined tendon. This connection is sointimate that it is absolutely impossible to separate it, and is very properly consideredas one of the most important factors in the anatomical study of hernia, and isworthy of minute description. These tendons are in part situated in front of thepyramidalis and lower portion of the rectus muscle, being inserted into the lineaalba and crista of the os pubis. The inferior fibers are
. The anatomy and surgical treatment of hernia. elower border of the transversalis and the internal oblique muscles blend in an inter-woven connective-tissue sheath, called the conjoined tendon. This connection is sointimate that it is absolutely impossible to separate it, and is very properly consideredas one of the most important factors in the anatomical study of hernia, and isworthy of minute description. These tendons are in part situated in front of thepyramidalis and lower portion of the rectus muscle, being inserted into the lineaalba and crista of the os pubis. The inferior fibers are somewhat spirally reflecteddownward and outward, to be inserted behind the ligament of Gimbernat, into theinner part of the ileo-pectineal line of the os pubis, passing behind the spermaticcord, as it lies in the lower part of the inguinal canal. This distribution of the con-joined tendinous fibers closes up a considerable portion of the space which is includedbetween the epigastric artery and the outer edge of the rectus muscle, thus consti-.
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Keywords: ., bookcentury1800, bookdecade1890, booksubjecthernia, bookyear1892
