fascia at several regions of the same body, and at some
corresponding regions of different individuals, it will be evident that
the depth of the incision required to divide it, so as to expose
subjacent structures, must vary accordingly. Where the superficial
fascia, after encasing the cord, descends into the scrotum, it is also
devoid of the fatty tissu.
By the removal of the superficial fascia and glands we expose the
aponeurosis of the external oblique muscle, A a, Pl. 28, (constituting
the third layer of the groin,) and also the fascia of the thigh, H L.
These strong fibrous structures will be observed to hold still in situ
the other parts, and to be the chief agents in determining the normal
form of this region.
The inguino-femoral region, as being the seat of hernial protrusions,
may in this stage of the dissection be conveniently described as a space
formed of two triangles--the one inguinal, the other femoral, placed
base to base. The inguinal triangle may be drawn between the points, B
C D, Pl. 28, while the femoral triangle may be marked by the points, C D
N. The conjoined bases of these triangles correspond to Poupart's
ligament along the line, C D. The inguinal varieties of herniae occur
immediately above the line, C D, while the femoral varieties of herniae
take place below this line. The herniae of the inguinal triangle are,
therefore, distinguishable from those of the femoral triangle by a
reference to the line, C D, or Poupart's ligament.
The aponeurosis of the external oblique muscle occupies the whole of
that space which I have marked as the inguinal triangle, B C D, Pl. 28.
The fleshy fibres of the muscle, A, after forming the lateral wall of
the abdomen, descend to the level of C, the iliac spinous process, and
here give off the inguinal part of their broad tendon, a. The fibres of
this part of the tendon descend obliquely downwards and forwards to
become inserted at the median line of the abdomen into the linea alba, B
D, as also into the symphysis and crista of the os pubis. The lower band
of the fibres of this tendinous sheath--viz., that which is stretched
between C, the iliac spine, and D, the crista pubis, is named Poupart's
ligament; and this is strongly connected with H, the iliac portion of
the fascia lata of the thigh.
Poupart's ligament is not stretched tensely in a right line, like the
string of a bow, between the points, C and D. With regard to these
points it is lax, and curves
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