Anatomy, Surgical and topographical -- Atlases; Surgery -- Atlases; Surgery, Operative -- Atlases
The sheath, e f, of the femoral vessels, E F, Fig. 1, Plate 43, passes
from beneath the middle of the femoral arch. In this situation, the
iliac part of the fascia lata, F G, Fig. 2, Plate 44, covers the sheath.
Its inner side is bounded by Gimbernat's ligament, R, Fig. 1, Plate 44,
and F, the falciform edge of the saphenous opening. On its outer side
are situated the anterior crural nerve, and the femoral parts of the
psoas and iliacus muscles. Of the three compartments into which the
sheath is divided by two septa in its interior, the external one, E,
Fig. 1, Plate 43, is occupied by the femoral artery; the middle one, F,
by the femoral vein; whilst the inner one, G, gives passage to the
femoral lymphatic vessels; and occasionally, also, a lymphatic body is
found in it. The inner compartment, G, is the femoral canal, and through
it the femoral hernia descends from the abdomen to the upper and
forepart of the thigh. As the canal is the innermost of the three spaces
inclosed by the sheath, it is that which lies in the immediate
neighbourhood of the saphenous opening, Gimbernat's ligament, and the
conjoined tendon, and between these structures and the femoral vein.
The sheath of the femoral vessels, like that of the spermatic cord, is
infundibuliform. Both are broader at their abdominal ends than
elsewhere. The femoral sheath being broader above than below, whilst the
vessels are of a uniform diameter, presents, as it were, a surplus space
to receive a hernia into its upper end. This space is the femoral or
crural canal. Its abdominal entrance is the femoral or crural ring.
The femoral ring, H, Fig. 2, Plate 43, is, in the natural state of the
parts, closed over by the peritonaeum, in the same manner as this
membrane shuts the internal inguinal ring. There is, however,
corresponding to each ring, a depression in the peritonaeal covering;
and here it is that the bowel first forces the membrane and forms of
this part its sac.
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