Surgical Anatomy And Operative Surgery, for Students And Practitioners

Cover Surgical Anatomy And Operative Surgery, for Students And Practitioners
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— This is the region which lies behind the transverse raphe — that part which corresponds to the anus and the ischio-rectal fossa.
In the middle is the anus, surrounded by its external sphincter muscle. This muscle arises from the tip of the coccyx behind, and, passing forward, is attached, in front of the anus, to the middle tendinous point of the perineum, which corresponds to the junction of the sphincter from behind, the transversus perinei from each side, and the bulbo-cavernosus from in f
...ront.
On either side of the anus there is a pyramidal space, the ischio- rectal fossa; this space is occupied by a mass of fat and loose con- nective tissue, the base of which corresponds to the superficial layer of superficial perineal fascia, and reaches from the tuberosity of the ischium to the anus. This space is about two inches deep. Its outer wall is formed by the tuber ischii and the obturator internus muscle, which muscle is covered over by a layer of fascia, the obturator fascia.
Passing forward upon this outer wall of the ischio-rectal fossa, be- neath the obturator fascia and about one and one-half inches above the tuberosity of the ischium, are the internal pudic vessels and nerve.


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