m SURGICAL ANATOMY OF FEMORAL HERNIA. 



itself forwards and upwards, it forms a complete femoral hernia. Occasionally, the 

 hernial sac descends on the iliac side of the femoral vessels, or in front of these 

 vessels, or even sometimes behind them. 



The seat of stricture of a femoral hernia varies : it may be in the peritoneum 

 at the neck of the hernial sac ; in the greater number of cases it would appear to 

 be at the point of junction of the falciform process of the fascia lata with the 

 lunated edge of Gimbernat's ligament ; or at the margin of the saphenous opening 

 in the thigh. The stricture should in every case be divided in a direction 

 upwards and inwards ; and the extent necessary in the majority of cases is about 

 two or three lines. By these means, all vessels or other structures of importance 

 in relation with the neck of the hernial sac will be avoided. 



