A treatise on surgical anatomy : part the first / by Abraham Colles.

  • Abraham Colles
Date:
1820
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on surgical anatomy : part the first / by Abraham Colles. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    ANATOMY OF mutiTal ordinary, so as to afford a remote resemblance to the descriptions given of the abdominal ring; while in the site of the ring itself, the structure of the D.ffi parts is much more uniform and smooth; so that discover.'0 an unexperienced person cannot readily discover the real place of the ring in this stage of the dis- Howto secti°n- Catch with the forceps the spermatic discover chord, as it passes over the face of the pubis; gently its place. pU|] [^ ancj y0U observe it coming out from under a very thin fascia; pass the handle of your knife between this fascia and the chord up towards the spine of the ilium, and you will perceive the texture of this fascia gradually to become thicker, as you Fascia ascend towards the ilium. It is this small fascia which which passing from one pillar of the ring to the the nng. other, and connecting itself to each, which had concealed these pillars from your view. This membrane nearer to the ilium, is of a ligamentous texture, but as it descends it loses of its ligamen- its extent, tous nature, and degenerates into a cellular struc- ture, but may in many subjects be traced for a quarter of an inch along the spermacetic chord. If you now recollect that by frequent distention and re- Howaiter- peated slight attacks of inflammation, this cellular disease, and tendinous structure becomes thicker; you will understand, that in performing the operation for Effects of inguinal hernia, you may not, after you have di- operation. vided the skin and superficial fascia, be able to discover the abdominal ring. You will therefore not feel embarrassed, when, instead of this opening with well defined borders, you find close to the surface of the abdominal muscles, the tumour covered at its neck, by this ligamentous membrane, which now, in consequence of thickening and dis- tention, is seen to descend perhaps for half an inch proceed in along the tumour. Consider now, in what manner th's^tep you can most readily introduce your knife between operation, the hernia and abdominal ring; and from the pre- sent view of the anatomy of the parts, it is plain
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