Atlas of Surgical and Topographical Anatomy (Paperback)

This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1867 edition. Excerpt: ...to a continous h morrhage. Still, in performing the operation for crural hernia, in order to prevent the blood obscuring the course of the knife, it is advisable to place a ligature on the extremity supplying the blood which in this instance is the lower. Abscesses occupying the superficial layer may be seated: 1. beneath the skin; 2. between the layers of the superficial fascia; 3. beneath the superficial fascia; and 4. in the sheath of the lymphatic glands. The latter is almost invariably the result of inflammation of the lymphatic glands. There is considerable risk in opening them, of dividing the superficial branches of the artery, and of the veins of the abdominal integument. Several important operations are performed in this region, such as the taxis, the operation for hernia, and ligaturing the femoral artery; we shall have to refer again to the two latter operations; we shall here only remark that the bandages which are intended to retain a hernia sheuld be provided with soft pads, so that the skin which is fine and thin is not injured by the contact of any rough surface. We will now speak of the application of a ligature to the femoral artery in the upper third of the thigh, or in the inguinal triangle. The femoral artery is here contained in a triangle whese base corresponds to the crural arch, while its apex is placed ten centimetres (3'937 English inch) lower down where the eartorius muscle and the adductor longus muscle meet. Througheut the whele of this space, it is only covered by the cribriform fascia, the funnel shaped passage for the vessels, and more superficially by the skin and the superficial fascia; so that during life it may be easily felt by its pulsations. If this indication sheuld be absent, its direction...