A treatise on hernia, explaining its varieties, situation, symptoms, and causes : to which is added a full description of the construction and application of the most approved mechanical remedies / By G.S. Acret, truss maker, 39, Houndsditch.

  • Acret, G. S.
Date:
1835
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on hernia, explaining its varieties, situation, symptoms, and causes : to which is added a full description of the construction and application of the most approved mechanical remedies / By G.S. Acret, truss maker, 39, Houndsditch. Source: Wellcome Collection.

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    nous process, and thence continued to the crest of the pubis, being about an inch; the other separated portion of the tendon of the oblique muscle is inserted into the symphysis pubis, and extends across the cartilage of the bone of the pubis on the opposite side, so that the right and left internal columns of the rings cross each other at the symphysis pubis, therefore the tri¬ angular slit is formed thus : pouparts ligament, where it is attached to the os pubis, forms the inferior or external column ; the portion of ten¬ don attached to the symphysis the superior or internal column, and the pubis the basis of the slit or ring. The upper part of the ring is strengthened by some tendinous fibres,* which cross it, and which also give its apex a rounded form. This aperture or ring is closed towards the abdomen, partly by the tendons of the inter¬ nal oblique and transversalis muscles, but more so by a fascia, called the fascia transversalis, which fascia is extended from the posterior edge * Scarpa, in speaking of the use of these fibres, says, “ one would be led to say, that by means of them, nature had intended to fix the limits of the inguinal ring, and to oppose the diver¬ gence of the tendinous pillars towards the side.”