1032 



SURGICAL ANATOMY OF HERNLZE. 



Such difference, however, is no more than a verbal one, the material fact being merely 

 that the two membranes are connected together along the groin. 



The separation of the fascia lata into two parts at the saphenous open- 

 ing, and the position and connections of each part, having been described in 

 detail, only a few points in the arrangement of this membrane will be 

 noticed in this place. At the lower end of the saphenous opening the 

 iliac division of the fascia is continuous with the pubic by a well-defined 

 curved margin immediately above which the saphenous vein ends ; above 

 the opening a pointed coriiu (falciform process Burns*) of the same por- 

 tion of the fascia extending inwards in connection with the femoral arch 

 reaches Gimbernat's ligament ; and in the interval between the two points 

 now referred to (i. e., from the upper to the lower end of the saphenous 

 opening), the iliac portion of the fascia lata blends with the subjacent sheath 

 of the femoral vessels as well as with the superficial fascia. The pubic part 

 of the fascia covers the pectineus muscle, and is attached to the pectineal 

 ridge of the hip-bone. Immediately below the femoral arch the iliac and 

 pubic portions lie one before, the other behind, the femoral blood-vessels and 

 their sheath : they occupy the same position with respect to the femoral 

 hernia. 



Fig. 711. 



Fig. 711. THE GROIN ov THE RIGHT 

 SlDE DISSEOTKD SO AS TO DISPLAY 

 THE DEEP FEMORAL ARCH. 



1, the outer part of the femoral 

 arch ; 1', part of the tendon of the 

 external oblique muscle, including 

 the femoral arch, and also the inner 

 column of the external inguiual ring, 

 projecting through which is seen a 

 portion of the spermatic cord cut; 

 2, the femoral arch at its insertion 

 into the spine of the pubes. The 

 fibres outside the numeral are those 

 of Gimbernat's ligament ; 3, the 

 outer part of the femoral sheath ; 4, 

 the spermatic cord, after having per- 

 forated the fascia tra us ver sails; 5, 

 the deep femoral arch its inner end 

 where it is fixed to the pubes ; 6, 

 internal oblique muscle ; 7, trans- 

 versalis. Beneath the lower edge of 

 this muscle is seen the trans versalis 

 fascia, which continues into the 

 femoral sheath under the deep femoral 

 arch; 8, conjoined tendon of the in- 

 ternal oblique and trans versalis muscles ; 9, a baud of tendinous fibres directed upwards 

 behind the external abdominal ring. 



For an account of the superficial arteries and veins which ramify in the 

 integument in the neighbourhood of the groin, see pp. 437 and 475. 



* Edinb. Med. and Surg. Journal, vol. ii. p. 263, and fig. 2. 



In the first edition of Key's Practical Observations in Surgery, the upper end of this 

 process of the fascia was named the "femoral ligament ;" and since then several anato- 

 mists have distinguished the same part as " Key's ligament." But Mr. Hey dropped the 

 designation in the subsequent editions of the same work, and there seems no good reason 

 for continuing it. Compare the original edition (1803), p. 151, and plate 4, with the 

 third edition (1814), p. 147, aud plates 4, 5, and 6. 



