Anatomy, Surgical and topographical -- Atlases; Surgery -- Atlases; Surgery, Operative -- Atlases
PLATE 39. Fig. 1--The descent of the testicle from the loins to the
scrotum.--The foetal abdomen and scrotum form one general cavity, and
are composed of parts which are structurally identical. The cutaneous,
fascial, muscular, and membranous layers of the abdominal parietes are
continued into those of the scrotum. At the fifth month of foetal life,
the testicle, 3, is situated in the loins beneath the kidney, 2. The
testicle is then numbered amongst the abdominal viscera, and, like
these, it is developed external to the peritonaeal membrane, which forms
an envelope for it. At the back and sides of the testicle, where the
peritonaeum is reflected from it, a small membranous fold or mesentery
(mesorchium, Seiler) is formed, and between the layers of this the
nerves and vessels enter the organ, the nerves being derived from the
neighbouring sympathetic ganglia (aortic plexus), while the arteries and
veins spring directly from the main abdominal bloodvessels. It being
predetermined that the testicle, 3, should migrate from the loins to the
scrotum, 6 a, 7, at a period included between the sixth and ninth month,
certain structural changes are at this time already effected for its
sure and easy passage. By the time that the testis, 5, is about to enter
the internal inguinal ring, 6 a, (seventh or eighth month,) a process or
pouch of the peritonaeal membrane (processus vaginalis) has already
descended through this aperture into the scrotum, and the testicle
follows it.
The descent of the testis is effected by a very slow and gradual process
of change. (Tout va par degres dans la nature, et rien par
sauts.--Bonnet.) But how, or by what distinct and active structural
agent, this descent is effected, or whether there does exist, in fact,
any such agent as that which anatomists name "gubernaculum testis," are
questions which appear to me by no means settled.[Footnote]
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