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: ...oblique and the transversus abdominis. He should note also that there are three portions of the anterior wall and three portions of the posterior wall. At the medial end of the anterior wall lies the subcutaneous inguinal ring, covered, and to a certain extent closed, by the intercrural fibres descending on the ...
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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: ...oblique and the transversus abdominis. He should note also that there are three portions of the anterior wall and three portions of the posterior wall. At the medial end of the anterior wall lies the subcutaneous inguinal ring, covered, and to a certain extent closed, by the intercrural fibres descending on the spermatic cord. Immediately to the lateral side of the subcutaneous ring the anterior wall is formed by the aponeurosis of the external oblique only, and at its lateral end the anterior wall is composed of the external oblique aponeurosis and the lower fibres of the internal oblique muscle: the anterior wall, therefore, is weakest at its medial and strongest at its lateral exteemity. The posterior wall, on the contrary, is strongest at its medial end and weakest at its lateral end. At its medial end, behind the subcutaneous inguinal ring, it is three layers thick, the layers, from before backwards, being the lig. inguinale reflexum, the falx inguinalis, and the transversalis fascia. More laterally, opposite the region where the anterior wall consists of external oblique aponeurosis alone, the posterior wall is formed by the transversalis fascia and the Fig. 115.--Diagram illustrating different forms of scrotal hernia?. falx inguinalis, and still more laterally, where the anterior wall is formed by both external oblique aponeurosis and internal oblique muscle, the posterior wall is represented by transversalis fascia only. The walls of the canal are well adapted, therefore, to resist the effects of intra-abdominal pressure. The student must remember, however, that, for practical purposes, in association with the formation of hernia, the contents of'the abdomen may be looked upon as being of a fluid or semifluid nature; consequently, if a portion of th...
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