wer part of the linea alba, which is in the median line; Epispadias,
which is an urethral opening on the dorsum of the penis; and
Hypospadias, which is a similar opening on its under surface, are of the
same nature--namely, omissions in median union. Hermaphrodism may be
interpreted simply as a structural defect, compared to the normal form
of the male, and as a structural excess compared to that of the female.
Spina bifida is a congenital malformation or hiatus in union along the
median line of the sacrum or loins. As the process of union along the
median line may err by a defect or omission, so may it, on the other
hand, err by an excess of fulfilment, as, for example, when the urethra,
the vagina, or the anus are found to be imperforate. As the median line
of union thus seems to influence the form of the hypogastrium, the
genitals, and the perinaeum, the dissection of these parts has been
conducted accordingly.
By removing the skin and subjacent adipose membrane from the
hypogastrium, we expose the superficial fascia. This membrane, E E E*,
Fig. 1, Plate 50, is, in the middle line, adherent to B, the linea alba,
and thereby contributes to form the central depression which extends
from the navel to the pubes. The adipose tissue, which in some subjects
accumulates on either side of the linea alba, renders this depression
more marked in them. At the folds of the groin the fascia is found
adherent to Poupart's ligament, and this also accounts for the
depressions in both these localities. From the central linea alba to
which the fascia adheres, outwards on either side to the folds of both
groins, the membrane forms two distinct sacs, which droop down in front,
so as to invest the testicles, E**, and penis in a manner similar to
that of the skin covering these parts. As the two sacs of the
superficial fascia join each other at the line B, coinciding with the
linea alba, they form by that union the suspensory ligament of the
penis, which is a structure precisely median.
The superficial fascia having invested the testicles each in a distinct
sac, the adjacent sides of both these sacs, by joining together, form
the median septum scroti, E, Fig. 2, Plate 50. In the perinaeum, Fig. 1,
Plate 51, the fascia, A, may be traced from the back of the scrotum to
the anus. In this region the membrane is found to adhere laterally to
the rami of the ischium and pubes; whilst along the median perinaeal
line the two sacs of which the mem
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