File:The anatomy and surgical treatment of abdominal hernia (1844) (14597966780).jpg

Identifier: anatomysurgicalt00coop (find matches)
Title: The anatomy and surgical treatment of abdominal hernia
Year: 1844 (1840s)
Authors: Cooper, Astley, Sir, 1768-1841 Key, C. Aston (Charles Aston), 1793-1849
Subjects: Hernia
Publisher: Philadelphia, Lea & Blanchard
Contributing Library: Univ. of Mass Medical School, Lamar Soutter Library
Digitizing Sponsor: Boston Library Consortium Member Libraries

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ob- lique muscle, reflected fromPouparts ligament.C Pubic attachment of the ten-don of the external oblique. d. Internal oblique, partly raised to show the transversalismuscle. e. Transversalis muscle.ff. Tendon of the transversalis muscle and the fascia trans-versalis, elongated by thepressure of the hernial tu-mour, and protruded throughthe external ring. The ten-don and the fascia transver-salis were so blended as notto be distinguished. Thisbag is cut open to show theperitoneal sac. Peritoneal sac, connected tothe tendinous bag by cel-lular membrane. There isfrequently a considerablequantity of fat found be-tween the fascia transversa-lis and peritoneum, whichin some cases of direct her-nia is protruded before theperitoneum, and in the ope-ration may lead to the sup-position of omentum beingexposed. Testicle. Fascia detached from the edge of the external ring, left adhering tomaster, which was attached to the outer side of the tumour, whilewas at the outer and back part.—Ed. g-
Text Appearing After Image:
h.i the cre-the cord OF DIRECT INGUINAL HERNIA. 167 described. The surgeon then passes his finger into the sac, and feels forthe stricture; if at the abdominal ring, he introduces the blunt-pointedbistoury between the sac and the ring, slitting the latter directly upwards,till the aperture is large enough to allow of the return of the parts; if thestricture is above the ring, he follows it with the knife still in the samedirection, and anterior to it, opposite the middle of the mouth of the sac,till the dilatation is sufficient to allow his finger to slip into the cavity ofthe abdomen; after which the hernia is to be pushed up, or, if not in a fitstate for that purpose, to be treated as mentioned in a former chapter.The parts anterior to the sac above the ring, and divided by the knife, arethe tendons of the transversalis and internal oblique muscles. If the stric-ture is within the sac, still the same direction is to be preserved, but theItnife must then be passed into the sac itself

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