phatic glands occupy the inguino-femoral region; these can
be felt, lying subcutaneous, even in the undissected state of the parts.
These glands form two principal groups, one of which, c, lies along the
middle of the inguinal fold, C B; the other, G g, lies scattered in the
neighbourhood of the saphenous opening. The former group receive the
lymphatic vessels of the generative organs; and the glands of which it
is composed are those which suppurate in, syphilitic or other affections
of these parts.
The general relations which the larger vessels of the inguino-femoral
region bear to each other and to the superficies, may be referred to in
PLATE 27, with practical advantage. The umbilicus, A, indicates pretty
generally the level at which the aorta bifurcates on the forepart of the
lumbar vertebrae. In the erect, and even in the recumbent posture, the
aorta may (especially in emaciated subjects) be felt pulsating under the
pressure of the hand; for the vertebrae bear forward the vessel to a
level nearly equal with, C C, the anterior superior spinous processes of
the iliac bones. If a gunshot were to pass through the abdomen,
transversely, from these points, and through B, it would penetrate the
aorta at its bifurcation. The line A B coincides with the linea alba.
The oblique lines, A D, A D,* indicate the course of the iliac vessels.
The point D marks the situation where the spermatic vessels enter the
abdomen; and also where the epigastric artery is given off from the
external iliac. The most convenient line of incision that can be made
for reaching the situation of either of the iliac arteries, is that
which ranges from C, the iliac spine, to D, the point where the
spermatic cord enters the abdomen. The direct line drawn between D and G
marks the course of the femoral artery, and this ranges along the outer
border, E, of the saphenous opening.
DESCRIPTION OF PLATE 27.
A. The umbilicus.
B. The upper margin of the pubic symphysis.
C. The anterior superior spine of the left iliac bone. C*, the situation
of the corresponding part on the right side.
D. The point where, in this subject, the cord manifested itself beneath
the fibres of the external oblique muscle. D*, a corresponding part on
the opposite side.
E. The saphenous opening in the fascia lata, receiving e, the saphenous
vein.
F. The lax and pendulous cord, which in this case, overlies the upper
part of the saphenous opening.
G.
|