File:Operative surgery, for students and practitioners (1913) (14777238094).jpg

Identifier: operativesurgery1913mcgr (find matches)
Title: Operative surgery, for students and practitioners
Year: 1913 (1910s)
Authors: McGrath, John J. (John Joseph), b. 1866
Subjects: Surgery, Operative
Publisher: Philadelphia, Davis
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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in the female. The cut edgesof the aponeurosis should i)e seized with artery forceps and separatedfreely from the underlying parts with the finger. The spermaticcord is a structure as big around as the little finer. It is made upof the vas deferens, which is the efferent duct of the testicle; theartery of the vas deferens and the cremasteric artery, and theircorresponding veins; the spermatic artery, and the pampiniformvenous plexus. As these structures traverse the inguinal canal theyare all bound together into a single rounded cord by a strong sheathof fascia, the infundibular process of the transversalis fascia. De-scending upon the cord are also seen the fibers of the cremastermuscle, which are derived from the lower edge of the internal obliquein the descent of the testes. The cord is also accompanid, in itscourse through the inguinal canal, by the genital branch of thegenito-crural nerve and the inguinal branch of the ilio-inguinalnerve. SURGICAL ANATOMY OF THK CROIX. KTC. f)95
Text Appearing After Image:
Fig. 266.—The Inguinal Canal. The canal has been laid open by splittingthe aponeurosis of the external oblique (A), which is grasped with the arteryforceps and drawn upward; CT, edge of the internal oblique muscle (conjoinedtendon); E, dotted line represents the course of the deep epigastric artery,which is located beneath the transversalis fascia; P, Pouparts ligament; TF,transversalis fascia, which forms the posterior wall of the inguinal canal; TL,triangular ligament, which is given off from the inner end of Pouparts. 596 HERNIA, ETC. After the inguinal canal has been opened by splitting the apo-neurosis of the external oblique, the free, curved, fleshy edge of theintemal oblique is exposed to view. This muscle, the part seen here,arises from the outer half of Pouparts ligement. If the edge of thismuscle is raised and drawn upward and outward for a short distance,or incised, we expose the transversalis muscle, which lies beneath tneinternal oblique. That portion of the transversa

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