CHAPTER XXX. 



SCARPA'S TRIANGLE AND FEMORAL 

 HERNIA. 



SUPERFICIAL FASCIA. FEMORAL HERNIA 



LYMPHATIC GLANDS. COVERINGS 



SAPHENOUS OPENING. OPERATIONS. 

 SCARPA'S TRIANGLE 



In the region of Scarpas triangle we find that the 

 superficial fascia is divisible into two distinct parts, viz., 

 a superficial or fat-bearing layer and a deep or fibrous 

 layer. The following structures separate these two divi- 

 sions of the superficial fascia from each other, viz. : The 

 superficial epigastric, the superficial circumflex iliac and 

 the superficial and deep external pudic arteries ; the com- 

 panion veins to these arteries ; the long saphenous vein ; 

 the crural branch of the genito-crural nerve; the middle 

 cutaneous branch of the anterior crural nerve ; twigs from 

 the ilio-inguinal nerve, and, lastly, superficial lymphatic 

 vessels and glands. 



The Lymphatic Glands are arranged in two 

 sets a superior and an inferior. The superior group is 

 more or less parallel to Poupart's ligament and may be 

 affected in septic wounds, etc., of the buttocks, or of the 

 inner part of the thigh, the lower portion of the superficial 

 structures of the abdomen, the integument of the penis, 

 scrotum and perineum in the male, and the lower portion 

 of the vagina in the female; whereas, the inferior group, 

 which is situated at right angles to Poupart's ligament 

 and in the neighborhood of the saphenous opening, may 

 be involved in wounds, etc., of the lower limb. In the 



