A probationary surgical essay on inguinal and femoral hernia / [Thomas Molison].

  • Molison, Thomas, -1835 or 1836.
Date:
1822
Catalogue details

Licence: Public Domain Mark

Credit: A probationary surgical essay on inguinal and femoral hernia / [Thomas Molison]. Source: Wellcome Collection.

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    and inner border of Pouparfis ligament, cutting obliquely downwards, and inwards, for two or three lines * * * §. Mr Lawrence divides the thin posterior border of the crural arch, in the part recommended by Gimbernat, as nearly as possible to its insertion into the pubis -f\ Mr Hey remarks, that the finger or director should not be introduced very near the great vessels, but on that side of the intestine or omentum which is nearest to the symphisis of the ossa pubis. The incision may then be made direct¬ ly upwards^. Richter |] and Sabatier§, direct the incision towards the umbilicus. Richerand®! says, “that, as the crural vessels and epigastric artery are almost always on the outside of the tumor, we ought to cut on the internal pil¬ lar ** * * §§ of the inguinal ring, which in this part forms the cru¬ ral arch, but in making this incision we must avoid wound¬ ing the spermatic vessels. We cut the arch outwardly, if contrary to the usual situation, the crural vessels are placed(on the internal side of the tumor.” Richter*(**)*, Arnaud j j, Chopart, Desault ||||, Roux §§, Cloquet^^[, &c., like¬ wise think, that crural hernia is sometimes situated to the * Scarpa, p. 44-. f On Ruptures, p. 379. J Practical Observations, 2d edit., p. 154. || Trad., de Rougemont, p. 121. On doit diriger l’incision vers 1’om- bilic. § Medicine operat, 2d edit., p. 410. IT Nosographie Chirug. t. iii. 2d edit. p. 401. ** Or inferior. ++ Traite des Hernies. Vide Note II. ++ Memoires, p. 767- HI) Traite des Maladies, Chirurg. t. ii. p. 195. §§ Melanges de Chirurg., p, 46_1809. ff Recherches Anatomiques, p. 85. Vide Note I.