herniary

If in infantile hernia a hydrocele should form in the tunica vaginalis, the fluid will also distend the pervious serous spermatic tube, 6 c, as far up as the closed internal ring, 6 b, and will thus invest and obscure the descending herniary sac, 13.

Surgical Anatomy Joseph Maclise

The herniary bowel may, therefore, dilate the peritonaeum immediately on the inner side of the artery, and enter the inguinal canal.

Surgical Anatomy Joseph Maclise

[Footnote] This hernia suffers stricture of the passive kind always; for the dense fibrous bands in its neighbourhood compress it rather by withstanding the force of the herniary mass than by reacting upon it.

Surgical Anatomy Joseph Maclise

[Footnote 1] Its further progress through the saphenous opening, B F, Fig. 1, Plate 44, must be made either by rupturing the weak inner wall of the canal, or by dilating this part; in one or other of these modes, the herniary sac emerges from the canal through the saphenous opening.

Surgical Anatomy Joseph Maclise

The order in which the herniary bowel takes its investments from the eight layers of the inguinal region, is precisely the reverse of that order in which these layers present in the dissection from before backwards.

Surgical Anatomy Joseph Maclise

Between these two points, which "bound the canal," and which are to be regarded merely as passive agents in causing stricture of the protruding bowel, the lower parts of the transversalis and internal oblique muscles embrace the herniary sac, and are known at times to be the cause of its active strangulation or spasm.

Surgical Anatomy Joseph Maclise