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Gracilis Anterior and Lateral View-stock-foto
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Anterior View of Anterior Thigh Muscles-stock-foto
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Branches of Anterior Division of Femoral Nerve-stock-foto
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Medical Accurate Illustration of Adductor Longus-stock-foto
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Medical Accurate Illustration of Adductor Brevis-stock-foto
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Medical Illustration of Vastus Medialis Muscle-stock-foto
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Medical Illustration of Vastus Lateralis Muscle-stock-foto
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Medical Illustration of Vastus Intermedius Muscle-stock-foto
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Anterior and Posterior View of Thigh Muscles-stock-foto
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Medical Illustration of Sartorius Muscle-stock-foto
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Branches of Posterior Division of Femoral Nerve-stock-foto
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Medical Accurate Illustration of Pectineus-stock-foto
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Medical Illustration of Hip Adductor Muscles-stock-foto
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Medical Illustration of Gracilis Muscle-stock-foto
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Superficial Veins of Lower Limb-stock-foto
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Anatomical Illustration of Femoral Triangle-stock-foto
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Anatomical Illustration of Femoral Nerve-stock-foto
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Anatomical Illustration of Femoral Artery-stock-foto
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Anatomical Illustration of Adductor Canal-stock-foto
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lymphatics anatomy of the lower limb-stock-foto
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Thigh Muscles-stock-foto
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Lower limb with blood vessels anterior view-stock-foto
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Joints of lower limb anterior view-stock-foto
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Medical illustration for explanation femoral nerve-stock-foto
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Anterior Branch of Obturator Nerve-stock-foto
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medical accurate illustration of the inguinal ligament-stock-foto
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abstract purple background with triangles-stock-foto
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. Text-book of anatomy and physiology for nurses. of thesartorius, the medial border by the adductor longus, and the apex bythe crossing of these two muscles on the medial side of the thigh atabout the middle. The most important structures in the triangle are the femoralartery and vein lying side by side, in a line from the middle of the 302 ANATOMY AND PHYSIOLOGY FOR NURSES. base to the apex. The femoral nerve and branches are to thelateral side of the artery. Order of structures as they pass under the inguinal ligament:V-ein, A-rtery, N-erve, the vein being medialward. Hunters Canal (Adducto-stock-foto
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. Text-book of anatomy and physiology for nurses. Fig. 2IO.—Structures inScarpas Triangle; portion ofSartorius removed. Fig. 211.—Popliteal Space (Holden). a, Biceps; h, peroneal nerve; c, plantaris; d, lateral head of gastrocnemius; e, semi- tendinosus;/, semimembranosus; g, gracilis; h, sartorius; i, medial head of gastrocnemius. The Popliteal Space.This is a deep diamond-shaped space behind the knee-joint.Itsjloor is formed, from above downward, by the popliteal surface of INGUINAL AND FEMORAL CANALS. 3O3 the femur, the posterior ligament of the joint, and the popliteusmuscle. The boundarie-stock-foto
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. Operative surgery, for students and practitioners . es in Scarpas triangle, and accompanies it down alongthe inner side of the thigh, through Hunters canal. At the lowerend of the canal, where the femoral vessels pass through the ad-ductor foramen into the popliteal space and just above the internalcondyle, the nerve becomes more superficial, lying beneath the sar-torius; below the knee-joint it becomes subcutaneous, and runs downthe inner side of the leg in company with the internal saphenous vein,and supplies the skin of the leg. Ligation of the Femoral Artery. The Common Femoral.—The comm-stock-foto
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. Gynecology : . ngle. One dissects then all thecellular tissue from the outer part of the triangle to the labium majus, completelydenuding the attachments of adductor longus and pectineus muscles and thefemoral vessels. If the tissues have been invaded and are voluminous it issometimes necessary to tie and divide the saphenous vein. The next step and one of importance is. to remove the glandular tissue be-neath the femoral ring. This is accomplished by cutting across Pouparts OPERATIONS ON THE VULVA 587 ligament (Fig. 217) and through the femoral ring just inside the femoral vein.It may even-stock-foto
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. Minor and operative surgery, including bandaging . /fe> Compound dorso-bis-axillary cravat. The Gluteo-femoral Triangle.—In applying this hand-kerchief, a cravat is first fastened around the waist, and asecond handkerchief folded into a triangle has its baseplaced in the gluteo-femoral fold, and its extremities car-ried around the thigh and secured in front by a knot;the apex of the handkerchief is then carried upward andpassed beneath the cravat around the waist, and is turneddown and pinned to the body of the triangle (Fig. 35).This handkerchief may be used to retain dressings to thereg-stock-foto
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. Minor and operative surgery, including bandaging . Gluteo-femoral triangle. Fig. 36.. Gluteo-inguinal cravat. design and application. It is well to bear in mind thissystem of dressing, for the occasion might occur in which 42 BANDAGING. the ordinary means of bandaging could not be obtained,and the use of handkerchiefs might answer a useful pur-pose as temporary dressings. I think their principal useis for temporary dressings, and I do not believe they willever take the place of the roller-bandage, which can beapplied with greater nicety and exactness, and certainlypresents a much neater appe-stock-foto
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. Medical and surgical therapy . Fig. 9.—Lateral wound of theexternal iliac artery, withmultii^ie perforations of thevein by shell - fragments.(Latarjets case. Val - dc -Grace Museum.) deep with the superficial femoral. Quenu saw thetrunk of the interosseous divided at the same timeas the brachial in the bend of the elbow. In operatingfor a haematoma in Scarpas triangle, P. Duval founda rent in the deep femoral vessels, as well as a woundof the superficial femoral artery and vein. Thismultiplicity of lesions, which is associated witli shell-fragments as well as with bullets, has a considerable-stock-foto
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. Medical and surgical therapy . )t()ni is marked swelling ofthe wounded limb, which differs in character accordingto whether the hsematoma is superficial or deep. Asuperficial hcematoma, such as that accompanying awound of the axillary or superficial femoral vessels,presents considerable swelling, which raises the skinof the injured area and forms a tumour of varying. ^T^^T^^KX^ Fig. 34.—Diffuse hsematoma of Scarpas triangle. (Authors case.) dimensions and vague outline. It is, however, a truedefinable tumour, distinct to both sight and touch.An axillary haematoma which elevates the anteriorw-stock-foto
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. Medical and surgical therapy . sts in temporary haemo- / ^ // stasis by Securing temporarily ^^^ ^ the arterial trunk above the wound. If the hsematoma isin Scarpas triangle, the tem-porary ligature is placed onthe external iliac. The methodhas already been described.In the case of a haematomaof the middle or lower partof the thigh, the femoral issecured at the base of Scarpastriangle. The method is asfollows : The skin overScarpas triangle is incised for2 inches along the line of thefemoral, that is to say, alonga line from the centre of thefold of the groin to the backpart of the internal-stock-foto
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. Minor and operative surgery, including bandaging . Lines of incision for—A. Com-mon iliac artery. B. Externaliliac artery. C. Femoral arteryin Scarpas triangle. (Stimson.) LIGATION OF THE EXTERNAL ILIAC ARTERY, 471 on the inner side, and the needle is passed from withinoutward. The transperitoneal method may also be employed inexposing and ligating this vessel. Ligation of the External Iliac Artery.—The incisionis three or four inches in length, half an inch above themiddle of Pouparts ligament, made at first parallel to it Fig. 3G0.. Ligation of the common iliac artery. (Liston.) and then c-stock-foto
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A manual of operative surgery . chap, iv] LIGATURE OF SUPERFICIAL FEMORAL 415 , B. Its inner border should be well isolated, and the whole muscleis then drawn outwards. The operator now feels for the groove of the artery. Infront of the vessel will be found branches of the internal cu-taneous nerve, and deeper and to its outer side are the longsaphenous nerve, and, possibly, thenerve to the vastus internus (Fig. 341). The sheath of the vessel shouldbe well opened, and the needle passedfrom the inner side. Comment. — Scarpas triangle ismuch smaller than would appear tobe the case when the disse-stock-foto
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Minor surgery, or, Hints on the every-day duties of the surgeon . Use. — To retain a dressing to, or support, thebreast. SUB-FEMORAL HANDKERCHIEF. •Application.—One handkerchief in a cravat goescircularly around the pelvis. The base of another,which is in a triangle, is applied obliquely on thethigh, the angles passing circularly around its 144 MINOR SURGERY. upper part, and the summit obliquely up betweenthe nates, to be fixed to the circular band, as at A. Fig. 119.. Use. — An excellent bandage to cover in thepelvic portion of the body, and the only one thatdoes it with great neatness and ac-stock-foto
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Minor surgery, or, Hints on the every-day duties of the surgeon . TRIANGULAR CAP OF THE BREAST. Application.—Base of a triangle obliquely acrossthe chest under one breast — summit over corre-sponding shoulder, one angle over opposite shoul- MINOR SURGERY. 143 der, the other under corresponding axilla, to tie onthe back and confine the summit. Fig. 118.. Use. — To retain a dressing to, or support, thebreast. SUB-FEMORAL HANDKERCHIEF. •Application.—One handkerchief in a cravat goescircularly around the pelvis. The base of another,which is in a triangle, is applied obliquely on thethigh, the angl-stock-foto
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