Operative surgery, for students and practitioners . this partof the posterior wall of the inguinal canal occurs, and the hernialsac, composed of the parietal peritoneum, will have as coverings,from within outward, the various layers that form this part of theposterior wall of the inguinal canal, viz., the fascia transversalis,the conjoined tendon, and the triangular ligament, and, in addition,the deep la3^er of the superficial fascia (spermatic fascia), the super-ficial layer of the superficial fascia (fat), and the skin. The neck of the sac in a direct inguinal hernia lies to the innerside of
Operative surgery, for students and practitioners . this partof the posterior wall of the inguinal canal occurs, and the hernialsac, composed of the parietal peritoneum, will have as coverings,from within outward, the various layers that form this part of theposterior wall of the inguinal canal, viz., the fascia transversalis,the conjoined tendon, and the triangular ligament, and, in addition,the deep la3^er of the superficial fascia (spermatic fascia), the super-ficial layer of the superficial fascia (fat), and the skin. The neck of the sac in a direct inguinal hernia lies to the innerside of the deep epigastric vessels. Fovea Supravesicalis.—This is the space between the plicavesico-umbilicalis lateralis and media. Its floor is formed by therectus muscle. This region is of but little surgical interest, and isnot the site of hernial protrusions. The Femoral Eegion.—Below Pouparts ligament we have thefemoral region. This part is, at times, depressed, and is called thefossa cruralis. If we dissect away the peritoneum, we expose Pou-. Fig. 276.—The Inguinal and Femoral Regions from Within the the right side the peritoneum has been stripped off, exposing the trans-versalis fascia. AC, anterior crural nerve imbedded in the ilio-psoas muscle; D,semilunar fold of Douglas—the lower edge of the posterior layer of the sheathof rectus; E, deep epigastric artery; E^, plica epigastrica (the deep epigastricvessels are situated beneath this foldl; , cut edge of the fascia iliaca, whichinvests the ilio-psoas muscle; GL, Gimbernats ligament; E, obliterated hypo-gastric artery; , fovea inguinalis externa; /./., fovea inguinalis interna;IL, sawn surface of the ilium; IPL. ilio-pectineal ligament, a thickened portionof the iliac fascia; P, cut edge of the peritoneum: , cut edge of the ilio-psoas muscle; PL, Pouparts ligament; Pil, pectineus muscle covered by itsfascia, which is here somewhat thickened and is known as the pubic ligamentof Cooper; SV, fo
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Keywords: ., bookauthormcgrathj, bookcentury1900, bookdecade1910, bookyear1913
