no OUTLINES OF ANATOMY. 



Superficial fascia, 364. (363) 



Superficial epigastric artery, 618. (606) 



Superficial circumflex iliac artery, 618. (606) 



Superficial external pudic artery, 618. (606) 



Veins : Each artery is accompanied by one or sometimes by two veins; these veins 



open into the saphenous or femoral vein ; Fig. 397 ; P. 684. (670) 

 Superficial lymphatic glands, 705 ; Fig. 400. (691) 

 The inguinal glands : 



Oblique or inguinal glands proper. 



Vertical set, or saphenous or superficial femoral glands. 

 Long or internal saphenous vein, 683-5 ! Fig. 397- (669) 

 Cutaneous nerves, P. 851 ; Fig. 464. (831) 

 External cutaneous nerve, 851. (832) 



Posterior branch. Anterior branch. 

 Crural branch of the genito-crural nerve, 849. (829) 

 Terminal branches of the ilio-inguinal nerve, 849. (829) 

 Middle cutaneous nerve, 852. (832) 

 Internal cutaneous nerve, 852. (832) 



Anterior branch. Posterior branch. 

 Branches of the long or internal saphenous nerve, 852-3. 



Patellar branch. 



Plexus patelle. Subsartorial plexus, 852. (833) 

 Turn off the superficial fascia and expose the deep fascia or fascia lata. 



Deep fascia or fascia lata, 364-5 ; Fig. 285. 

 Ilio-tibial band. 



Saphenous opening. Iliac portion. Falciform ligament. 

 Pubic portion. Cribriform fascia. 



Femoral Hernia, 1165-6-7-8-9. (1141-2-3-4-5) 

 Parts concerned in femoral hernia : 



(1) Skin and superficial fascia of groin. 



(a) Superficial layer of superficial fascia. 



(b) Deep layer of superficial fascia. 



(2) Poupart's ligament. 



(3) Gimbernat's ligament. 



(4) Fascia lata : Iliac portion ; pubic portion. 



(5) Saphenous opening. 



Make an incision through the fascia lata from near the anterior superior spine of the ilium, along the 

 lower border of Poupart's ligament to the pubes, and from the same point, along the inner border of the 

 sartorius for about five inches. Carefully reflect the fascia lata down and in and expose the femoral 

 sheath in place. 



(6) Femoral sheath. 



Beginning just below Poupart's ligament, make a vertical incision about two inches in length through 

 the femoral sheath, and expose the femoral artery ; in the same manner, expose the vein and the femoral 

 canal at the inner side of the vein. Demonstrate the septum between the canal and the vein, and 

 between the vessels. 



(7) Femoral canal : 



Length. Limits. Boundaries. Contents. 



(8) Femoral ring : Shape. Boundaries. 



Position of vessels around the ring. 

 Course of femoral hernia. 

 Coverings of a femoral hernia : 



(A) At upper or femoral ring. 



(B) In the canal. 



(C) At the external or superficial opening. 

 Scarpa's triangle. 



Carefully remove the deep fascia from the upper third of the thigh, exposing the muscles forming the 

 boundaries of Scarpa's triangle. Dissect out the fat, fascia, and connective tissue, and expose the vessels 

 and nerves in the triangle, and the muscles forming its floor. 



