Further considerations on the anatomy of oblique inguinal hernia / by John H. Packard.

  • John Hooker Packard
Date:
1896
Catalogue details

Licence: Public Domain Mark

Credit: Further considerations on the anatomy of oblique inguinal hernia / by John H. Packard. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    bowel being able to force its way into a narrow orifice like that at the inner end of the inguinal canal. The fact that the hernial sac can so generally be stripped up away from the cord, leaving the latter with its sheath intact. The occurrence of hernia at other portions of the abdominal wall; and, The occasional occurrence of interstitial hernia. I do not lay stress upon my two dissections of herniated subjects, but hope to add to them, and should be glad if those who have greater opportunities would investigate the question. My belief is that in oblique inguinal hernia the sac takes its origin in the outer fossa (at the outer side of the epigastric artery) near the internal ring, but above it; that it follows the direction of least resistance, going downward and inward, approaching the cord and becoming parallel with it, in fact, usually coming in contact with its sheath and accompanying it through the external ring. If this is so, then the neck of the sac does not corre- spond with the internal ring, and the relations between the sac and the cord are far less intimate than they would be according to the generally accepted view.