. The principles and practice of surgery. canal by those boun-daries which lie outside of the femoral sheath; and in order that ourdescription may be complete and intelligible, it will be necessary tomention these additional limitations. The femoral canal is, in this view,bounded superiorly by the femoral ring; inferiorly by the upper edgeof the saphenous opening; in front by Pouparts ligament and the falci-form process of the fascia lata; behind, by the spine of the pubes andthe pubic portion of the fascia lata; externally by the femoral yem, andinternally by Gimbernats ligament. The saphenou
. The principles and practice of surgery. canal by those boun-daries which lie outside of the femoral sheath; and in order that ourdescription may be complete and intelligible, it will be necessary tomention these additional limitations. The femoral canal is, in this view,bounded superiorly by the femoral ring; inferiorly by the upper edgeof the saphenous opening; in front by Pouparts ligament and the falci-form process of the fascia lata; behind, by the spine of the pubes andthe pubic portion of the fascia lata; externally by the femoral yem, andinternally by Gimbernats ligament. The saphenous opening, by some named the external femoral ring,is immediately covered by the deep layer of the superficial fascia, whose 1 Wherever the word crural has heretofore been employed by other writers I havesubstituted femoral, for the sake of avoiding the confusion which might arise fromthe use of the two terms. 740 FEMORAL HERNIA. attachment to the lower margin of the opening is close and firm, whileabove it is relatively loose. Fig. Anatomy of Femoral Hernia. Iliac Portion of Fascia Lata removed, and Sheath of Femoral Vessels andFemoral Canal laid open. Gray. It will now be easy to determine the natural course of a femoralhernia, and the nature and number of investments it must receive inits progress toward the surface. Entering the femoral ring, it will re-ceive, first, the subserous tissue which here as elsewhere invests or under-lies the peritonaeum; second, the areolar tissue, etc., which closes themouth of the femoral canal and sheath; third, the anterior wall of thefemoral sheath. It is necessary here to explain, that by M. Yelpeau thesubserous tissue is named, both in its connection with inguinal and fe-moral hernise, the fascia propria; by Sir Astley Cooper this termseems to have been applied to the union and condensation of the sub-serous tissue, the fascia cruralis, and the femoral sheath; while by otherwriters the same term is applied to the conjunction of the
Size: 1458px × 1713px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1870, booksubjectg, booksubjectsurgery
