Atlas and epitome of abdominal hernias / by Dr. Georg Sultan.

  • Sultan, Georg.
Date:
1902
Catalogue details

Licence: Public Domain Mark

Credit: Atlas and epitome of abdominal hernias / by Dr. Georg Sultan. 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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    Fig. 2.—The anterior abdominal wall after removal of the skin: The superficial fascia is exposed and through its substance the under- lying external oljlique muscle may be seen. The continuation of the fascia upon the thigh is perforated by the great saphenous vein; in this situation it exhibits a number of sieve-like perforations and is known as the cribriform fascia. Fig. 3.—The anterior abdominal wall after removal of the super- ficial fascia: The most external of the abdominal muscles—the exter- nal oblique—is exposed; the muscular fibers soon spread out into a broad aponeurosis the lower free margin of which is Poupart's liga- ment. The aponeurosis ends at the pubic spine with a sharp border, the convexity of which is directed outward and which bounds an opening—the external abdominal ring—through which the spermatic cord passes out of the abdomen. In the femoral region the fascia lata is exposed. The curved free edge of this fascia—the falciform process—is situated below the inner third of Poupart's ligament and embraces the saphenous opening, through which the femoral vein and a narrow edge of the femoral artery are visible. The f designates the position in which femoral hernia makes its appearance. vascular ramifications which have no practical importance. The superficial fascia is continued upon the thigh, in one place exhibiting sieve-like perforations; this portion is known as the cribriform fascia, and one of its openings gives passage to the great saphenous vein. The super- ficial fascia of the abdomen is also continuous with the superficial fascia of the scrotum, in which situation it is known as the dartos. Figure 3 represents the structures which are exposed upon the removal of the superficial fascia. The fibers of the external oblique muscle run from above downward and inward. They arise by a number of digitations from the seven lower ribs and s])read out into a broad aponeuro- sis which ends in the median line in the linea alba and