THE SOLAR PLEXUS

The =solar plexus= (Fig. 450) is situated on the dorsal wall of the

abdominal cavity in relation to the aorta and the origin of its chief

visceral branches. It comprises the cœliaco-mesenteric ganglia and the

cœliac and anterior mesenteric plexuses.

The =cœliaco-mesenteric ganglia=[212] are two in number, right and left.

They are situated on each side of the aorta, in relation to the origin

of the cœliac and anterior mesenteric arteries. The right ganglion is

concealed by the posterior vena cava; it is irregularly quadrilateral

and is about two inches (4 to 6 cm.) in length. The left ganglion is

largely covered by the left adrenal; it is narrower than the right one

and is three or four inches (ca. 8 to 10 cm.) long. The two ganglia are

united by irregular connecting branches in front of and behind the

anterior mesenteric artery.[213] Each receives the splanchnic nerve of

its own side and branches from the dorsal œsophageal continuation of the

vagus nerves. Branches from the ganglia and the cords which connect them

pass back to the small stellate =posterior mesenteric ganglia=, which

are situated at the origin of the posterior mesenteric artery.

The =cœliac plexus= (P. cœliacus) consists of a feltwork of nerve-fibers

in which are small ganglia. It surrounds the cœliac artery and from it

proceed the following unpaired secondary plexuses which accompany the

arterial branches:

1. The =gastric plexus= (P. gastricus) enlaces the gastric artery and

divides like the artery into two parts, forming the anterior and

posterior gastric plexuses. These receive branches of the vagus nerves.

2. The =hepatic plexus= (P. hepaticus) is formed by several nerves of

considerable size which accompany the hepatic artery and the portal

vein. It receives fibers from the left vagus, ramifies in the liver, and

gives off branches which accompany the collateral branches of the

hepatic artery and supply the areas in which these vessels are

distributed.

3. The =splenic plexus= (P. lienalis) resembles the preceding in its

arrangement. In addition to its terminal branches to the spleen, it

gives collateral twigs to the pancreas and the left part of the greater

curvature of the stomach.

The =anterior mesenteric plexus= (P. mesentericus cranialis) is formed

mainly by branches from the posterior part of the cœliaco-mesenteric

ganglia; it is continuous with the cœliac plexus in front and the

posterior mesenteric behind. It surrounds the anterior mesenteric trunk

and its branches, and supplies the viscera to which these vessels are

distributed.

The =posterior mesenteric plexus= (P. mesentericus caudalis) accompanies

the artery of like name in its distribution.

The secondary plexuses which accompany the branches of the mesenteric

arteries give off branches which form two fine peripheral plexuses in

the wall of the intestine. One of these, the =myenteric plexus= (P.

myentericus) or plexus of Auerbach, lies between the layers of the

muscular coat, and is provided with microscopic ganglia. The other is

in the submucous tissue, and is therefore termed the =submucous

plexus= (P. submucosus) or plexus of Meissner.

The following paired plexuses are derived mainly from branches of the

cœliac and aortic plexuses:

1. The =renal plexuses= (P. renales) proceed largely from the

cœliaco-mesenteric ganglia, but receive fibers also from the small

splanchnic nerves. They enlace the renal arteries and supply the

kidneys. Minute renal ganglia occur on the course of the nerves along

the renal vessels.

2. The =adrenal plexuses= (P. suprarenales) are formed by a relatively

very large number of fine fibers derived in great part directly from the

cœliaco-mesenteric ganglia. Numerous minute ganglia occur in their

meshes.

3 _a_. The =spermatic plexuses= (P. spermatid) proceed largely from the

aortic and renal plexuses. Each accompanies the corresponding (internal)

spermatic artery to the testicle.

3 _b_. The =utero-ovarian plexuses= (P. ovarici) are the homologues in

the female of the preceding. They accompany the utero-ovarian arteries

to the ovary and the cornua of the uterus.

The =hypogastric= or =pelvic plexus= (P. hypogastricus) is the pelvic

continuation of the aortic and posterior mesenteric plexuses. The chief

nerves which form it enter the pelvic cavity ventral to the large

vessels, anastomose with each other and with branches from the third and

fourth sacral nerves, and ramify on the pelvic viscera. The peripheral

plexuses derived therefrom are named according to the organs which they

supply; the chief of these are the =hæmorrhoidal=, =vesical=,

=uterovaginal=, =prostatic=, =cavernous= (of the penis or clitoris).

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