n. In other
instances, the two bands of the aponeurosis, known as the "pillars of
the ring," together with the transverse fibres, or "intercolumnar
fascia," firmly embrace and support the cord as far inwards as the point
K, and by the oblique direction thus given to the cord in traversing the
inguinal parietes, these parts are fortified against the occurrence of
hernia. In Pl. 28, the cord, K, will be observed to drop over the lower
band of fibres, ("external pillar of the ring,") and to have D, the
crista pubis, on its inner side. In Pl. 29, the upper band of fibres
("internal pillar of the ring") may be seen proceeding to its insertion
into the symphysis pubis. When a hernial tumour protrudes at the
situation K, it is invested, in the same manner as the cord, by the
spermatic fascia, and holds in respect to the fibrous bands or pillars
the same relations also as this part.
After removing the tendon of the external oblique muscle, A a, Pl. 28,
together with its spermatic elongation, E, we expose the internal
oblique, F E, Pl. 29, and the cremaster, constituting the fourth
inguinal layer. The fleshy part of this muscle, F E, occupies a much
greater extent of the inguinal region than does that of the external
oblique. Whilst the fleshy fibres of the latter terminate on a level
with C, the iliac spine, those of the internal oblique are continued
down as far as the external abdominal ring, E D h, and even protrude
through this place in the form of a cremaster. The muscular fibres of
the internal oblique terminate internally at the linea semilunaris, g;
while Poupart's ligament, the spinous process and crest of the ilium,
give origin to them externally. At the linea semilunaris, the tendon of
the internal oblique is described as dividing into two layers, which
passing, one before and the other behind the rectus abdominis, thus
enclose this muscle in a sheath, after which they are inserted into the
linea alba, G. The direction of the fibres of the inguinal portion of
the muscle, F E, is obliquely downwards and forwards, and here they are
firmly overlaid by the aponeurosis of the external oblique.
The cremaster muscle manifests itself as being a part of the internal
oblique, viewing this in its totality. Cloquet (Recherches anatomiques
sur les Hernies de l'Abdomen) first demonstrated the correctness of this
idea.
The oblique and serial arrangement of the muscular fibres of the
internal oblique, F, Pl. 29, is seen to be
|