File:Operative surgery, for students and practitioners (1913) (14779643785).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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The femoral sheath is a funnel-shaped connective-tissue envelopewhich is prolonged downward from the margins of the femoral space,inclosing the vessels as they pass into the thigh. Corresponding toits commencement at Pouparts ligament, the femoral sheath is wide-mouthed, and attached all around to the margins of the femoralspace. Above, it is attached to Pouparts ligament; below, to theilio-pectineal ligament (thickened portion of the fascia covering theilio-psoas muscle) and to the ligament of Cooper (thickened upperportion of the fascia that covers the pectineus muscle). Internally,it is attached to the edge of Gimbemats ligament. The femoralsheath is continued but a short distance downward upon the femoralvessels, becoming narrow and contracted below, and closely appliedto the walls of the vessels. The femoral sheath is divided into three compartments, whichare entirely separate and distinct from each other, by connective-tissue septa. In the outer compartment the femoral artery is
Text Appearing After Image:
608 HERNIA, ETC. lodged; in the middle, the femoral vein; the inner compartmentcontains a lym23hatic gland and some loose connective tissue, andgives passage to the lymphatic vessels that enter the abdomen fromthe lower extremity. This space, the inner, is called the crural canal.It is inclosed within the femoral sheath, and reaches from Gim-bernats ligament downward npon the inner side of the femoral veinas far as the Junction of the internal saphenous vein with the fem-oral, at which point the crural canal ceases to exist, because here thefemoral sheath is applied directly to the wall of the femoral vein. The orifice of this crural space, or canal, is called the cruralring. The crural ring is bounded above by Pouparts ligament; be-low, by the jiectineus muscle and the fascia which covers it, andwhich is here thickened and called the pubic ligament of Cooper;internally, by Gimbemats ligament; and, externally, by the femoralvein. A femoral hernia, as it descends into the thigh, usuall

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