Anatomy, Surgical and topographical -- Atlases; Surgery -- Atlases; Surgery, Operative -- Atlases
The two vessels above Poupart's ligament lie behind the intestines, and
are closely invested by the serous membrane. The origin of the vena
cava, F, lies close to the right side of the bifurcation of the aorta,
A; and here both vessels are supported by the lumbar spine. Each of the
two arteries, G G,* into which the aorta divides, has its accompanying
vein, H, on its inner side, but the common iliac part of the right
artery is seen to lie upon the upper portions of both the veins, as
these joining beneath it form the commencement of the vena cava. The
external iliac part, I, of each artery has its vein, K, on its inner
side. At the point, G, where the artery gives off its internal iliac
branch, the ureter, g, crosses it, and thence descends to the bladder.
The internal iliac branch subdivides in general so soon after its
origin, that it may be regarded as for the most part an unsafe
proceeding to place a ligature upon it.
The iliac vessels, A G I, in approaching Poupart's ligament along the
border of the true pelvis, are supported by the psoas muscle, and
invested and bound to their place by the peritonaeum, and a thin process
of the iliac fascia. Some lymphatic glands are here found to lie over
the course of the vessels. The spermatic artery and vein, together with
the genito-crural nerve, descend along the outer border of the iliac
artery. When arrived at Poupart's ligament, the iliac vessels, I K,
become complicated by their own branches, and also by the spermatic
vessels, as these are about to pass from the abdomen through the
internal inguinal ring. While passing beneath the middle of Poupart's
ligament, D, the iliac artery, I, having its vein, K, close to its inner
side, rests upon the inner border of the psoas muscle, and in this place
it may be effectually compressed against the os pubis. The anterior
crural nerve, P, which in the iliac region lies concealed by the psoas
muscle, and separated by this from the vessels, now comes into view,
lying on the outer side of the artery. When the vessels have passed from
beneath Poupart's ligament, the serous membrane no longer covers them,
but the fibrous membrane is seen to invest them in the form of a sheath,
divided into two compartments, one of which (internal) receives the
vein, the other the artery. The iliac vessels, in passing to the thigh,
assume the name of femoral.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account