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Show in tbe dg'fl'crmt Parts oft/1c Body. 0f the particular Distribution of tbe Absorbent Vessels have inflated them with air, and have no doubt but that they terminate in the same glands. From the glands of the ham, two grand trunks emerge, as vasa eH‘crentia principally to the deep-seated absorbcnts now described, but also to the cutaneous absorbents which accompanied the saphena mi- nor; these run one on each side of the femoral artery. These frequently communicate with one another by cross canals, and their branches some- times form Circles which complcatly surround the artery. In one case they both terminated in the same gland in which the greater number of the cuta- neous absorbentshad terminated; but more frequently they terminate in three or four of the larger glands, which lie on the upper or under side of the inguinal artery. The glands and the vessels together I have usually named plexus inguimllis. From these glands several trunks emerge. I have occasionally seen two; sometimes four; and, the very last time that I injected them, which was in the summer of the year 1785, there were six : these I have been used to name tjfi'rcntin inguiuis. The principal trnnl: lies under the fascia of the thigh, immediately in Contact with the upper side of the inguinal arter and a little above that passes under l'aupart's ligament, where it immediately enters into the glands that are upon the sides of the external iliac artery; and, being joined with other smaller trunks- entering any gland, accompanies the iliac artery till it is lost in the lum- l have sometimes found it passing along these, without en- tering any of them, and going immediately into the beginning of the thora- cic duct, where, joined by a similar trunk from the opposite side, they might be said, as it were, to form the two crura of the thoracic duct. Some of the smaller vasa effcrcntia of the groin lic above the fascia of the thigh, and, before they pass under Paupart's ligament, perforate the fascia in so many different places. \vthn the absorbents of the thigh form one large trunk, lying on the upper side of the inguinal artery, I have distinguished it by the name 0ft: i'l‘cns inguinis Illrlximmli; its size is described page 87 : Dr. Hunter had forgot that he himself had seen it; but, in his posthumous w, bar glands. .wwgwuayr-ag-ma . ham: ment, between the tibia and fibula, and terminate in the glands of the but the principal part accompany the arteries plantaris externa and interim, in the sole of the foot, and afterwards the posterior tibial artery through its whole course, and terminate also in the glands of the ham. I have once or twice also seen the absorbents accompanying, in the same manner, the peroneal artery. Though I have not injected them with quicksilver, l the name of [31121115 ilirzczls cItCt'm/S: sometimes the principal truult, without notes, I find that six inches of the femoral artery had been brought to him in 1764, from an hospital in town, with this trunk ofthe absorbents on its upper surface, distended with its own lymph. He saysit contained a strawcoloured liquor, and was almost as large as a goose quill; it was found full on dissection, and its fluid was prevented from running out by a ligature f 1,,an: ....a. veins. Part of with the arteries, two on each side, as the deep-seated foot; they acthe of top the on artery, tibial anterior the y accompan these interossial liga- company it through its whole course; with it perforate the trunks from the thigh, forms a plexus of vessels and glands, all the way to the lowermost vertebra of the loins; which I have usually distinguished by then put round it, and the upper part of the artery: he s vs the vessel was 4 go afterouter ancle; from thence run on the outside of the tendo Achilles, down wards between the bellies of the gastrocnemeus muscle, and, dipping the condyles between its heads, near the place where they are inserted into described. of the os femoris, terminate in the glands of the ham, already The deepThese are not above one fifth so numerous as the former. toes, along scatcd absorbcnts arise, as I have said, from the sides of the 151 as tight as it could have been made by any injection. If the operation for the inguinal aueurism was to be performed in such a case, this trunk must be tied tip with the artery, the leg must become oedematous, and there would be a stagnation oflyntph in almost all the absorbents of the lower extremity. About two years ago I injected the trunks accompanying the fe- moral artery: a little above the middle of the thigh they split into four branches; these subdividing, formed about seven or eight; some of these were inserted into glands on the inside ofthc inguinal artery, but the prin- cipal vessels went with it under Paupart's ligament, into the cavity of the abdomen, and were inserted into the external iliac glands. :w x 50 |