. Surgery, its principles and practice . ng attempts at reduction of congenital dislocation of the hip. Still more rarely the hernia may emerge external to the vessels, or the lacuna musculorum. The pro-portion of femoral hernia to inguinal hernia at the Hospital for Ruptured and Crippled has been about as 1 to 17, which is the same as that observed at the London Truss So-ciety, according to the statistics ofMacready. Femoral hernia, as a rule, doesnot occur before puberty. At theHospital for Ruptured and Crippled,out of 3404 cases of femoral 108 werein children under fourteen years ofage. Ana
. Surgery, its principles and practice . ng attempts at reduction of congenital dislocation of the hip. Still more rarely the hernia may emerge external to the vessels, or the lacuna musculorum. The pro-portion of femoral hernia to inguinal hernia at the Hospital for Ruptured and Crippled has been about as 1 to 17, which is the same as that observed at the London Truss So-ciety, according to the statistics ofMacready. Femoral hernia, as a rule, doesnot occur before puberty. At theHospital for Ruptured and Crippled,out of 3404 cases of femoral 108 werein children under fourteen years ofage. Anatomic Relations. — Themost important landmarks are thefollowing: Pouparts ligament above,the pubic spine to the inner side, andthe femoral veins to the outer has already been stated, in somecases at least, femoral hernia is ofcongenital origin, due to the presenceof a diverticulum of peritoneum intowhich the hernia later protrudes. In acquired femoral hernia thedevelopment may be described asfollows: The parietal peritoneum is. Fig. 47.—Femoral Hernia in a Child AgedTen Years of Two Years Duration. 72 HERNIA. gradually pushed directly downward into the enlarged femoral canal, enter-ing the sheath of the femoral vessels until it reaches the cribriform fascia,either penetrating the same or passing beneath it. At the lower end ofthe femoral canal it curves forward, emerging at the saphenous openingjust internal to the femoral vein. In very rare cases, as pointed out by Sultan, femoral hernia may leavethe abdominal cavity in the usual way, emerging from the femoral open-ing, then passing through an opening in the pectineal fascia, continuingdownward along the inner portion of the thigh, parallel with the vessels,instead of outward in the usual way. I have seen one such case as this, in which the hernial sacextended 3 inches belowPouparts ligament. Femoral hernia in mostcases is globular in shape,seldom attains to a sizelarger than a hens egg orgoose egg, though in somec
Size: 1311px × 1907px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, booksubjectg, booksubjectsurgery
