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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    Transverse muscle. Fascia transversa- lis. nal canal, and covers them as they proceed to the testicle * * ; but these vessels in some particular instances have been found to pass between the fibres of the lower edge of the oblique, when they get embraced by the cremaster *f*. I have seen the cremaster rise from Poupart’s ligament quite uncon¬ nected with the muscular fibres of the internal oblique. Directly behind the internal oblique lies the Transverse, the inferior fibres of which likewise arise from the outer portion of Poupart’s ligament, but do not descend so far, and pass horizontally inwards, over the upper opening of the inguinal canal, to be inserted by its aponeurosis into the upper part of the os pubis, behind the upper pillar of the external ring, and into the linea alba, along with the posterior aponeurosis of the internal oblique. Frequently the transverse at its lower edge is so intimately connected with the internal oblique, that it is altogether impossible to separate them, which has led some to believe that this muscle, in particular instances, may give origin, in common with the latter, to the formation of the cremaster. Immediately behind the transverse muscle, and as high up as the inferior border of the diaphragm, may be ob¬ served the scattered fibres of the commencement of the Fascia transversalis j, which form a pretty strong mem¬ brane at the lower part of the abdomen, where it is insert¬ ed into Poupart’s ligament. Downwards and inwards it is of the greatest strength, and unites with the external edge of the tendon of the rectus muscle of the abdomen, where it sends an insertion into Gimbernat’s ligament, which, in * Vide Note B. *f* Cloquet, Recherches Anatomiques sur les Hernie* de l’Abdomen, p. 37, X Cloquet, p. 25.