. Surgery, its principles and practice . ion be-tween congenital and ac-quired hernia has already^^ been sufficiently dealt ^» with under General Re- marks (p. 18). Oblique Inguinalj;: Hernia. — This is the most common of all var-ieties of hernia, 93 percent, of all ingumal her-nias being oblique. Anatomic Rela-tions.—In oblique in-guinal hernia the sacemerges from the abdo-men through the internalring above and a littleoutside of the deep epi-gastric artery; it thenpasses downward in anoblique direction, par-allel with Pouparts liga-ment, crossing almost at right angles the deep epigastric ve
. Surgery, its principles and practice . ion be-tween congenital and ac-quired hernia has already^^ been sufficiently dealt ^» with under General Re- marks (p. 18). Oblique Inguinalj;: Hernia. — This is the most common of all var-ieties of hernia, 93 percent, of all ingumal her-nias being oblique. Anatomic Rela-tions.—In oblique in-guinal hernia the sacemerges from the abdo-men through the internalring above and a littleoutside of the deep epi-gastric artery; it thenpasses downward in anoblique direction, par-allel with Pouparts liga-ment, crossing almost at right angles the deep epigastric vessels, finallyemerging at the external ring. In the early stages of oblique ingumalhernia, before the protrusion has passed beyond the external ring, thehernia is Imown as an incomplete hernia or bubonocele. A hernia whichhas passed beyond the external ring and entered the scrotum is knownas a complete or scrotal hernia in the male; in the female a hernia whichhas passed beyond the external ring and entered the labia major is known. Fig. 22.—Oblique Inguinal Hernia, Complete. INGUINAL HERNIA. 55 \
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