. Hernia, strangulated and reducible. With cure by subcutaneous injections, together with sugcested [!] and improved methods for kelotomy. Also an appendix giving a short account of various new surgical instruments. as in the abdominal region, betweenwhich are the cutaneous vessel and nerves and the lymphaticglands. These vessels are the internal saphenous vein andthe superficial epvjaHric, superficial circumflex iliac, and super-ficial external pubic arteries from the femoral, while thecutaneous nerves are from the ilio-in/. /nal, gcnito-crural, andanterior crural from the plexus. The
. Hernia, strangulated and reducible. With cure by subcutaneous injections, together with sugcested [!] and improved methods for kelotomy. Also an appendix giving a short account of various new surgical instruments. as in the abdominal region, betweenwhich are the cutaneous vessel and nerves and the lymphaticglands. These vessels are the internal saphenous vein andthe superficial epvjaHric, superficial circumflex iliac, and super-ficial external pubic arteries from the femoral, while thecutaneous nerves are from the ilio-in/. /nal, gcnito-crural, andanterior crural from the plexus. The ilio-inguinal ANATOMY: DESCRIPTIVE AND SURGICAL. 67 nerve lies upon the inner side of the internal saphenous vein,the genito-crural on the outer side, and the middle and externalcutaneous nerves still more external. The superficial layerof this superficial fascia is continuous above with the super-ficial fascia of the abdomen, while the deeper layer is con-tinuous below with the fascia lata a little below Poupartsligament. Where it adheres to the saphenous opening inthis fascia lata it is pierced by small blood-vessels andlymphatics ; hence the name cribriform fascia has been appliedto it in this Fio. 8.—Femoral Hernia. The deep fascia lying beneath the superficial fascia is calledfrom its great extent the fascia lata,. At the upper and innerside of the thigh, a little below Pouparts ligament and onthe pubic side of its centre, is seen an oval opening directedobliquely downward and outward about an inch and a halfin length and half an inch in width. This is the saphenousopening. To understand it properly the fascia lata may bedescribed as consisting of two portions, iliac and pubic. Theformer is attached externally to the crest of the ilium andits anterior superior spine, to the whole length of Pouparts F 2 08 HERNIA. ligament as far internally as the spine of the pnbes, and tothe pectineal line in conjunction with Gimbernats ligament,where it becomes continuous
Size: 1272px × 1963px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1880, bookpublisheretcetc, bookyear188
