. The anatomy and surgical treatment of hernia. o the bone; and below, appeared the muscles and ligaments of the pelvis. PLATE XLV* Gives an internal view of the ischiatic hernia from Dr. Joness patient. The preparation is in theanatomical collection at St. Thomass Hospital. a. Section of the pubes. m. Obturator artery, which may be traced be- b. Spinous process of the ilium. fore the sac as far as the obturator foramen. c. Sacrum. n. Internal iliac vein. d. Iliacus internus muscle. o. Obturator vein passing behind the hernia e. Psoas muscle. to the obturator foramen, from which another/. Pyri
. The anatomy and surgical treatment of hernia. o the bone; and below, appeared the muscles and ligaments of the pelvis. PLATE XLV* Gives an internal view of the ischiatic hernia from Dr. Joness patient. The preparation is in theanatomical collection at St. Thomass Hospital. a. Section of the pubes. m. Obturator artery, which may be traced be- b. Spinous process of the ilium. fore the sac as far as the obturator foramen. c. Sacrum. n. Internal iliac vein. d. Iliacus internus muscle. o. Obturator vein passing behind the hernia e. Psoas muscle. to the obturator foramen, from which another/. Pyriformis muscle. vein (/) is seen passing into the iliac vein. g. Coccygeus muscle. q. Hernial sac. //. Termination of the external iliac artery in r. Its orifice, the crural. The artery was injected with red wax, the /. Beginning of the crural vein. vein with yellow, which is the reason the artery is k. Trunk of the common iliac artery. so much darker than the vein in the Internal iliac artery. * Cooper, Plate XII, Part II. P-LATE ISCHIATIC HERNIA. 165 Camper also recorded a case where the ovary was in the sac. Should ever the ques-tion of operative interference be deemed advisable, Sir Astley Cooper recommendedthat the safest direction in which the orifice can be dilated will be directly forward. The following case is reported by Lawrence: * An exception must be made to thisremark if we admit, according to the general opinion, that the case described in PapensEpistola de stupenda Hernia dorsalis was an ischiatic rupture. A woman, at the ageof forty, perceived near the right side of the anus a small tumor, which gradually in-creased into an immense pendulous bag, hanging down to the knee. She was obligedto lie on the left side, to suspend the tumor from the back when at work, and toelevate and compress it in order to promote the evacuation of the fseces. Frequentborborygmi were heard in the part. It seems that this great infirmity did not mate-rially affect the pa
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Keywords: ., bookcentury1800, bookdecade1890, booksubjecthernia, bookyear1892
