. An analytical compendium of the various branches of medical science, for the use and examination of students. Anatomy; Physiology; Surgery; Obstetrics; Medicine; Materia Medica. 102 SURGERY. INGUINAL ANEURISM. This is a pulsating tumour in the groin, not to be mistaken for a bubo, hernia, &c. The external iliac is tied by making an incision (a, Fig. 31), about 3J inches in length, commencing on a level with the anterior superior spinous process, and about an inch distant from it; and continued nearly parallel with Poupart's ligament, to a point 1 inch above, and 1^ inches to the outside
. An analytical compendium of the various branches of medical science, for the use and examination of students. Anatomy; Physiology; Surgery; Obstetrics; Medicine; Materia Medica. 102 SURGERY. INGUINAL ANEURISM. This is a pulsating tumour in the groin, not to be mistaken for a bubo, hernia, &c. The external iliac is tied by making an incision (a, Fig. 31), about 3J inches in length, commencing on a level with the anterior superior spinous process, and about an inch distant from it; and continued nearly parallel with Poupart's ligament, to a point 1 inch above, and 1^ inches to the outside of the pubes. Carefully cut- ting through the skin, superficial fascia, tendon of the external oblique, internal oblique, and transversalis muscles, the fascia transversalis will be exposed, with some danger of wounding the epigastric artery. This fascia should be scratched through, and the peritoneum pushed aside, and held out of the way by an assistant with a spatula: the artery will be detected by its pulsation on the inner border of the psoas muscle : the vein being on its inner side. The operation for tying the internal iliac or the common iliac is made by making an incision b. The letter c shows the incision of Sir Astley Cooper when he tied the aorta. Fig. POPLITEAL ANEURISM. This is of frequent occurrence, and occupies the space between the hamstrings behind the knee, causing pain, numbness and swelling of the leg, disease of the joint, &c. The operation is to tie the femoral artery. The patient being properly placed, the sar- torius muscle is rendered prominent by raising and adducting the thigh. An in- cision of two or three inches in length is made upon the inner side of the sarto- rius muscle, in the upper part of the thigh, according to Scarpa, where the artery is superficial. The saphena vein is to be re- garded in the dissection of the superficial fascia. After opening the sheath, care must be taken not to injure the vein, nor to include the saphenus ner
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