. The anatomy and surgical treatment of hernia. ls into lateral apposition. In the following plate from Cloquet, the deep dissection was made so as todemonstrate the vessels and their relations to the deeper portions of the inguinalcanal. A considerable portion of the fascia transversalis has been cut away on thisaccount, but Pouparts ligament has been retained, and, although the dissection wasnot intended for this purpose, it would be difficult to find a more beautiful demonstra-tion of the oblique direction of the inguinal canal within which the spermatic cordfinds easy lodgment. This dispos
. The anatomy and surgical treatment of hernia. ls into lateral apposition. In the following plate from Cloquet, the deep dissection was made so as todemonstrate the vessels and their relations to the deeper portions of the inguinalcanal. A considerable portion of the fascia transversalis has been cut away on thisaccount, but Pouparts ligament has been retained, and, although the dissection wasnot intended for this purpose, it would be difficult to find a more beautiful demonstra-tion of the oblique direction of the inguinal canal within which the spermatic cordfinds easy lodgment. This disposition of the parts is the more noteworthy since, inthe normal condition, muscular activity and violent exertion, regardless of the positionof the body, has little or no effect in disturbing the relationship of the parts. Intra-abdominal pressure only serves to close the lateral walls of the canal, while theattachment of the cord to the surrounding parts is such that undue strain or tensionis scarcely possible. Plate LXII. LV » ? r » t- y ^ ^. I 1 :^1|?*^^?^°°*^^ -^^ FUNDAMENTAL FACTORS IN THE CURE OF HERNIA. 391 PLATE LXII.* VIEW OF THE DEEPER STRUCTURES, ESPECIALLY SHOWING THE VESSELS AND SPERMATIC CORD OF THE RIGHT SIDE. A. Rectus abdominalis. P. Spine of the pubes, giving insertion to the B. Pyramidalis. external or inferior column of the inguinal ring. C. Tendon of the rectus. Q. Superior aperture of the crural canal. D. Portion of the fascia transversalis. R. Lower border of the aponeurosis of the E. Aponeurosis of the oblique mus- external oblique forming the crural arch. cle. 6. Superficial layer of the fascia lata detached F. Another portion of the fascia transversalis from the crural arch, and reflected in order to ex- G. External iliac artery and vein. hibit the deeper layer of the same aponeurosis,H, H. Femoral artery. the crural canal, and the femoral vessels. /. Femoral vein. T. Deep layer of the fascia lata forming the K. Vena saphena uniting with th
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Keywords: ., bookcentury1800, bookdecade1890, booksubjecthernia, bookyear1892
