. American practice of surgery ; a complete system of the science and art of surgery . e subcutaneous fat. The deepfascia, in this space the fascia lata, is perforated by the saphenous opening or ABDOMINAL HERNIA. 585 ring, the concave margin of which (the falcifonn process) is crossed at its lowerpart by the long saphenous vein as it enters the saphenous opening. () The fascia lata in front and Pouparts ligament are connected by fascialprocesses with the pectineal fascia and muscle and the ileo-psoas muscle fascial planes guard the great vessels, the external iliac \ein a
. American practice of surgery ; a complete system of the science and art of surgery . e subcutaneous fat. The deepfascia, in this space the fascia lata, is perforated by the saphenous opening or ABDOMINAL HERNIA. 585 ring, the concave margin of which (the falcifonn process) is crossed at its lowerpart by the long saphenous vein as it enters the saphenous opening. () The fascia lata in front and Pouparts ligament are connected by fascialprocesses with the pectineal fascia and muscle and the ileo-psoas muscle fascial planes guard the great vessels, the external iliac \ein and artery,as they lie in Scarpas triaieigle. and tend to prevent the occurrence of hernia,either inside or outside the vein and artery, as the latter descend into the fascial bands merge with Gimbernats ligament on the inner side, prac-tically closing the space up to the sheath of the vein. A similar band, whichcloses the space outside the femoral arteiy at its passage under Pouparts liga-ment, goes to the ileopectineal eminence; it is called the ileopectineal Fig. 224.—The .Andrews Operation, The cord is here shown to have been restored to its naturalposition. {Original.) On neither side does adequate space for a canal exist normally, there being,only sufficient room for one or two lymph nodes, called Rosenmuellersglands. The space in question, bounded by Pouparts ligament in front and thepectineal ridge and muscle behind, is sometimes called the lacuna addition to the great vessels it also transmits the psoas and iliacus musculo-tendon and the anterior crural nerve. It is filled also by loose adipose tissueand is closed by peritoneum, which, in normal subjects, is slightly hollowed ordepressed, forming the fovea femoralis, which is analogous to the fovea in-guinalis or slight dimple opposite the inguinal ring. This depression forms thestarting point of a femoral hernia. Pathology.—The peritoneum is forced into the femoral canal and thu
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1906
