This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1921 Excerpt: ...never congenital. In the presence of a complete femoral hernia, the crural canal presents a very decided curve downward, forward, and upward. Hence, after the protrusion escapes from the saphenous opening, it rolls upward over Poupart's ligament in the direction of the anterior superior spine. Therefore, in a ...
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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1921 Excerpt: ...never congenital. In the presence of a complete femoral hernia, the crural canal presents a very decided curve downward, forward, and upward. Hence, after the protrusion escapes from the saphenous opening, it rolls upward over Poupart's ligament in the direction of the anterior superior spine. Therefore, in a superficial examination, the cutaneous appearance of an inguinal and femoral hernia may be very similar and difficult to differentiate. Rule.--Find the pubic spine. The neck of a femoral hernia always lies external to the pubic spine. It occurs more frequently in women than in men, probably due to the greater width of the pelvis, which implies a larger femoral ring. Pregnancy is also a predisposing factor in femoral hernia, due to the overstretching of the structures composing the abdominal walls. The coverings of femoral hernia, while of no great practical importance, are easily appreciated by recalling the fact that the femoral ring is covered by the septum crurale, the saphenous opening by the cribriform fascia. Now follow the course of the hernia from within out, and observe that the coverings acquired are in order: (a) Peritoneum The sac. (b) Septum crurale Covering of femoral ring. (c) Crural sheath Anterior wall of crural sheath. (d) Cribriform fascia Covering of saphenous opening. (e) Superficial fascia. () Skin. The Use of Taxis in Femoral Hernia.--If the hernia is recent and soft, taxis may be used with a fair assurance of success. If the hernia is of long standing and tense, taxis is useless and contra-indicated. Remember the unyielding character of the structures surrounding the femoral ring. It explains why taxis is of less value in femoral than inguinal hernia, and why strangulation is more frequent. Essentials to Successful Taxis.--Posit...
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Seller's Description:
Good+ with no dust jacket. Green cloth, edge worn, with corners bent and worn. A solid copy of this hard to find edition. Many detailed drawings throughout text.; Large 8vo 9"-10" tall; 675 pages.
