File:Anatomy, descriptive and surgical (1897) (14762911714).jpg

Identifier: anatomydescripti1897gray (find matches)
Title: Anatomy, descriptive and surgical
Year: 1897 (1890s)
Authors: Gray, Henry, 1825-1861 Carter, H. V. (Henry Vandyke), 1831-1897 Pick, T. Pickering (Thomas Pickering), 1841-1919
Subjects: Anatomy Human anatomy Anatomy, Surgical and topographical
Publisher: London : Longmans, Green
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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far as the crest of the ilium, dividing into brancheswhich supply the superficial inguinal lymphatic glands, the superficial fascia and FEMOEAL HEENIA 129 the integument of the groin, anastomosing with the deep circumflex iliac, andwith the gluteal and external circumflex arteries. The superficial veins.—The veins accompanying these superficial arteries areusually much larger than the arteries : they terminate in the internal or longsaphenous vein at the saphenous opening. The superficial inguinal lymphatic glands, placed immediately beneath theintegument, are of large size, and vary from eight to ten in number. They aredivisible into two groups : an upper, disposed irregularly along Pouparts ligament,which receive the lymphatic vessels from the integument of the scrotum, penis,parietes of the abdomen, perineal and gluteal regions, and the mucous membraneof the urethra; and an inferior group, which surround the saphenous opening in Fig. 695.—Femoral hernia. Superficial dissection.
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the fascia lata, a few being sometimes continued along the saphenous vein to avariable extent. This latter group receive the superficial lymphatic vessels fromthe lower extremity. The ilio-inguinal nerve arises from the first lumbar nerve. It escapes at theexternal abdominal ring, and is distributed to the integument of the upper andinner part of the thigh: to the scrotum in the male, and to the labium in thefemale. The size of this nerve is in inverse proportion to that of the ilio-hypo-gastric. Occasionally it is very small, and ends by joining the ilio-hypogastric :in such cases a branch of the ilio-hypogastric takes the place of the ilio-inguinal,or the latter nerve may be altogether absent. The crural branch of the genito-crural nerve passes along the inner margin of the Psoas muscle, beneath Poupartsligament, into the thigh, entering the sheath of the femoral vessels, and lyingsuperficial and a little external to the femoral artery. It pierces the anterior II30 SUEGICAL ANATOMY

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