. The anatomy and surgical treatment of hernia. ture as thosebelonging to the ordinary varieties of inguinalhernia, with the exception of the peritoneal in-vestment already carefully described. As would naturally be expected, in congeni-tal hernia, there is no marked depression to dis-tinguish between the fundus of the hernial sacand the upper part of the testicle, as is ob-served in the other forms of inguinal hernia. By special permission I have somewhatrecently carefully studied all the specimens,illustrative of the various varieties of hernia,which are contained in the Museum of theRoyal C
. The anatomy and surgical treatment of hernia. ture as thosebelonging to the ordinary varieties of inguinalhernia, with the exception of the peritoneal in-vestment already carefully described. As would naturally be expected, in congeni-tal hernia, there is no marked depression to dis-tinguish between the fundus of the hernial sacand the upper part of the testicle, as is ob-served in the other forms of inguinal hernia. By special permission I have somewhatrecently carefully studied all the specimens,illustrative of the various varieties of hernia,which are contained in the Museum of theRoyal College of Surgeons of England; and,since this collection is especially rich in the pos-session of the specimens prepared by JohnHunter and Sir Astley Cooper, I have felt thatit would be of interest and profit to the pro-fession to select freely from the catalogue thedescriptions of the same, as valuable illustra-tions of the different varieties of the following series of specimens of congenitalhernia can not fail to be of Fig. 2.—The wood engraving represents the man-ner in which the prolapsed intestine, in a con-genital hernia, is contained within the cavity ofthe tunica vaginalis testis : a. The body of theleft testicle, covered in front and upon its sidesby the tunica vaginalis testis, b, b. The tunicavaginalis testis, which is a process from thegreat bag of the peritonEeum, and, remainingopen at its upper extremity, forms the sac in acongenital inguinal hernia, c. The intercolum-nar fibers, which bind together the pillars of abdominal ring. d. The superior or internal pillar of the ring. e. The inferior or ex-ternal pillar of the ring. _/,_/. The superficialcoverings of the hernial sac in the , g- A fold of small intestine which, in the con-genital inguinal hernia, descends into the cavityof the tunica vaginalis testis, where it frequentlylies in apposition with, or is adherent to, thebody of the testicle (Morton). 2668. The sa
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Keywords: ., bookcentury1800, bookdecade1890, booksubjecthernia, bookyear1892
