The practice of surgery . al Hernia, a. The sac. b. Thefemoral vein, c. The artery, d. The abdominalring. e. Section of the psoas and iliacus The acetabulum. (From Druitt.) FEMORAL HERNIA. 407 its fellow, so as to relax the crural FiS- l7 arch, on which, and not on Pouparts ligament, constriction depends. The pelvis, too, may be alternately raised and depressed (p. 395). Also, as already stated, the neck of the tumor must be unbent and straight, before reductive pressure is made on the fundus; in other words, the tumor is first pushed down on the thigh, and then upwards into the abd


The practice of surgery . al Hernia, a. The sac. b. Thefemoral vein, c. The artery, d. The abdominalring. e. Section of the psoas and iliacus The acetabulum. (From Druitt.) FEMORAL HERNIA. 407 its fellow, so as to relax the crural FiS- l7 arch, on which, and not on Pouparts ligament, constriction depends. The pelvis, too, may be alternately raised and depressed (p. 395). Also, as already stated, the neck of the tumor must be unbent and straight, before reductive pressure is made on the fundus; in other words, the tumor is first pushed down on the thigh, and then upwards into the abdomen. After reduction, a well-made truss is applied; the pad resting on the outside of and beneath the spine of the os pubis. Strangulation is both more com-mon and more severe than in theinguinal forms of hernia; and, con-sequently, operation is more fre-quently required. It is performedthus: The skin having been pinched up, is divided by transfixion, inorder that there may be no risk of injury to the important parts be-. Femoral Hernia, of unusually large si/,e. [Fig. 179.]


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