The Dublin Dissector Or System of Practical Anatomy volume 1
The Dublin Dissector Or System of Practical Anatomy volume 1
Robert Harrison
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The hernial sac, in descending, car- ries before it the fascia propria, descends in the sheath of the vessels along the inner side of the vein, and may remain in this situation for a considerable time ; as the tumour increases in size it bursts through the sheath, and either tears or dilates some opening in the cribriform fascia, and then turns forwards into the groin ; if the tumour in- crease still further it is found to turn upwards over Poupart's liga- ment between the superficial and deep ...fasciae of the abdomen, and to rest on the lower part of the tendon of the external oblique, generally in the direction of Poupart's ligament, and therefore there is often some difficulty in distinguishing between a femoral and an inguinal hernia ; the form of the crural ring, the course of the superficial epigastric ves- sels, the close connexion between the superficial and cribriform fasciae, together with the frequent flexion of the limb, account for its ascending in this manner. If we dissect off the integuments from a femoral her- nia of long standing, we shall find beneath them the superficial fascia, often so increased in thickness and vascularity as to present a compact and almost fleshy-like appearance ; when this shall have been divided, the tumour can be brought down off the abdomen into the groin, and will be found covered by a dense and smooth capsule, which often pre- DUBLIN DISSECTOR.
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