. Text-book of operative surgery . nd of thepyriformis. The nerve, after giving off large branches to the gluteus maximus and abranch to the small sciatic nerve, is continued vertically downwards under the fascia ofthe back of the thigh. The spine of the ischium and the lesser sacro-sciatic ligamentwhich is attached to it serve as a guide to the place of exit of the artery from thepelvis. 62. Inferior Vesical Artery. This artery is ligatured in loco in exposing thebase of the bladder. 63. Artery to the Vas Deferens. This artery is only of iraportance in thatit acts as a Substitute for the sper
. Text-book of operative surgery . nd of thepyriformis. The nerve, after giving off large branches to the gluteus maximus and abranch to the small sciatic nerve, is continued vertically downwards under the fascia ofthe back of the thigh. The spine of the ischium and the lesser sacro-sciatic ligamentwhich is attached to it serve as a guide to the place of exit of the artery from thepelvis. 62. Inferior Vesical Artery. This artery is ligatured in loco in exposing thebase of the bladder. 63. Artery to the Vas Deferens. This artery is only of iraportance in thatit acts as a Substitute for the spermatic artery in maintaining the nutrition of thetesticle. If necessary it can be ligatured by means of the inguinal incision over thespermatic cord, where it lies close to the vas deferens, 64. Middle Hsemorrhoidal Artery. This artery, which is ligatured in excision SURGERY OF THE LARGE ARTERIES 137 of the rectum, is found closely applied to tlie wall of the rectum above tlie coccygeusand levator ani muscles and the pelvic Fig. 55.—(a) and {h) Nephrotomy. (c) Ligature of the sciatic and internal pudic arteries, andexposure of the great sciatic, suiall sciatic, and internal pudic uerves. \d) Ligature of thegluteal artery and exposure of the superior giuteal nerve. 65. Tlie Uterine Artery. Ligature of the uterine artery is chiefly performedas a preliminary to excision of the uterus, extirpation of large myomata, or in orderto produce atrophy of uterine myomata. 138 OPERATIVE SURGERY
Size: 1438px × 1738px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdec, booksubjectsurgicalproceduresoperative
