Operative surgery . Fig. 1116.—Direct inguinal her-nia, a. Integument and Aponeurosis of external ob-lique muscle, d. Spermaticcord. e. Epigastric vessels. /.Sac. g. Hernial contents. 910 OPERATIVE Fig. 1117.—Transverse section below Pouparts Anterior superior spine of the ilium, h. Iliac fascia,c. Anterior crural nerve, d. Femoral artery, e. Femoralvein. /. Septum crurale. g. Gimbernats ligament, of pubes. i. Pectineal fascia, j. Ilio-pectinealeminence, k. Iliac bursa. /. Rectus femoris Sartorius muscle, n. Transversalis fascia. of the femoral


Operative surgery . Fig. 1116.—Direct inguinal her-nia, a. Integument and Aponeurosis of external ob-lique muscle, d. Spermaticcord. e. Epigastric vessels. /.Sac. g. Hernial contents. 910 OPERATIVE Fig. 1117.—Transverse section below Pouparts Anterior superior spine of the ilium, h. Iliac fascia,c. Anterior crural nerve, d. Femoral artery, e. Femoralvein. /. Septum crurale. g. Gimbernats ligament, of pubes. i. Pectineal fascia, j. Ilio-pectinealeminence, k. Iliac bursa. /. Rectus femoris Sartorius muscle, n. Transversalis fascia. of the femoral canal forabout half au inch, tothe upper portion of thesaphenous opening ( and 1110), throughwhich it escapes; after-ward, ill many instances,it passes upward and restsupon the falciform pro-cess of that opening (). The two commonpoi)its of constriction areGimbernats ligament(Fig. 1117) and the sharpborder of the falciformprocess of the saphenousopening. The importantboundaries of the upper extremity of the crural canal are, within, Gimber-nats ligament, and without, the femoral vein (Fig. 1117), surrounded by its sheath. Throughout the course of thisthe femoral vein lies at the outerside.


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