A memoir on the advantages and practicability of dividing the stricture in strangulated hernia on the outside of the sac / By C. Aston Key.

  • Charles Aston Key
Date:
1833
Catalogue details

Licence: Public Domain Mark

Credit: A memoir on the advantages and practicability of dividing the stricture in strangulated hernia on the outside of the sac / By C. Aston Key. Source: Wellcome Collection.

    156/180 (page 144)
    be found more easily to pass under the stricture at this part. It should not at first be attempted to be thrust under the stric- ture, as the firmness of the parts forming the stricture would resist it. But the seat of stricture being felt, the operator should depress the end of the director upon the sac, which will yield before it, and then, by an onward movement, the director slides under the stricture. The usual seat of stricture in a femoral hernia is too familiar to need any elaborate description. The appearance of the stricture, and its con- nection with the fascia propria, are shown in the Fourth Plate, fig. 3., of Sir A. Cooper’s work on Hernia, Part I]. The sac is removed, and the fascia propria, with Poupart’s ligament, is left entire. The tendinous band of the sheath, where it joins with Poupart’s ligament, is most accurately delineated in Plate 2. fig. 3., and in Plate 3. fig. 5. In these views Poupart’s ligament, has been removed, and the natural structure of the sheath of the vessels which forms the fascia propria of hernia is clearly exhibited. The band that produces the constriction