Aids to surgery / by George Brown.

  • Brown, George
Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: Aids to surgery / by George Brown. Source: Wellcome Collection.

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    OBLIQUE. 4. Cremaster muscle. 4. Conjoint tendons of internal oblique and transversalis muscles. DIRECT. 5. Fascia transversalis, or 5, Fascia transversalis. infundibuliforra fascia. G. Sub-serous cellular tis- G. Sub-serous cellular tis- The diagnosis between oblique and direct inguinal hernia is not difficult in the earlj^ stage, but is much more so in ru2)tures of long standing. The oblique variety commences as a slight swelling at the internal abdominal ring, just above the centre of Poupart's ligament, and passes downwards and inwards through the inguinal canal, towards the scrotum. In the direct variety, the bowel escapes from the abdominal cavity immediately behind the external abdominal ring, and at once passes downwards and inwards to the scrotum. As a rule, the tumour is more globular in the direct; that in the oblique variety is not so large, but has a wider neck. The mit of stricture in indirect inguinal hernia is usually at the internal abdominal ring; and in the direct variety where the hernia passes through the conjoined tendon. This form of liernia escapes from the abdominal cavity through the crural ring, and descends verti- cally beneath Poupart's ligament, lying at first in tlie sheath of the femoral vessels immediately to the sue. 7. Peritoneal sac. sue. 7. Peritoneal sac. LT. —FEMORAL IIERXIA.
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