Anatomy, Surgical and topographical -- Atlases; Surgery -- Atlases; Surgery, Operative -- Atlases
relative position, the description of one will serve for the other.
While the thigh is abducted and rotated outwards, if a line be drawn
from the navel to a point, D, of the inguinal fold, midway between B,
the anterior iliac spine, and C, the symphysis pubis, and continued
thence to the inner condyle of the femur, it would indicate the general
course of the artery, G I W. In this course, the vessel may be regarded
as a main trunk, giving off at intervals large branches for the supply
of the pelvic organs, the abdominal parietes, and the thigh. From the
point where the vessel leaves the aorta, A, down to the inguinal fold,
D, it lies within the abdomen, and here, therefore, all operations
affecting the vessel are attended with more difficulty and danger than
elsewhere, in its course.
The artery of the lower limb, arising at the bifurcation of the aorta on
the fourth lumbar vertebra, descends obliquely outwards to the
sacra-iliac junction, and here it gives off its first branch, G,
(internal iliac,) to the pelvic organs. The main vessel is named common
iliac, at the interval between its origin from the aorta and the point
where it gives off the internal iliac branch. This interval is very
variable as to its length, but it is stated to be usually two inches.
The artery, I, continuing to diverge in its first direction from its
fellow of the opposite side, descends along the margin of the true
pelvis as far as Poupart's ligament, D, where it gives off its next
principal branches,--viz., the epigastric and circumflex iliac. At the
interval between the internal iliac and epigastric branches, the main
artery, I, is named external iliac; and the surgical length of this part
is also liable to vary, in consequence of the epigastric or circumflex
iliac branches arising higher up or lower down than usual. The main
vessel, after passing beneath the middle of Poupart's ligament, D, next
gives off the profundus branch, N, to supply the thigh. This branch
generally arises at a point an inch and half or two inches below the
fold of the groin; and between it and the epigastric above, the main
artery is named common femoral. From the point where the profundus
branch arises, down to the popliteal space, the vessel remains as an
undivided trunk, being destined to supply the leg and foot. In this
course, the artery is accompanied by the vein, H K O, which, according
to the region in which it lies, assumes different names, corresponding
to those applied to the artery. Both vessels may now be viewed in
relation to each other, and to the several structures which lie in
connexion with them.
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