Surgical and obstetrical operations . erformed at the point where it is lodged in themanner described and the incision should be made onlylarge enough to permit its removal. In diverticuli of theoesophagus an elliptical piece of the mucous membranewhich has been overstretched is cut out. The oesophagealwound is closed by a laminated suture, that is, the mucousmembrane is united by means of an intestinal suture andthe muscular wall closed over this. The skin and muscularwound may either be left open or closed with the Baj-ersuture and bandaged with a drainage tube in the lowerangle. III. OPERAT
Surgical and obstetrical operations . erformed at the point where it is lodged in themanner described and the incision should be made onlylarge enough to permit its removal. In diverticuli of theoesophagus an elliptical piece of the mucous membranewhich has been overstretched is cut out. The oesophagealwound is closed by a laminated suture, that is, the mucousmembrane is united by means of an intestinal suture andthe muscular wall closed over this. The skin and muscularwound may either be left open or closed with the Baj-ersuture and bandaged with a drainage tube in the lowerangle. III. OPERATIONS ON THE TRUNK AND GENITALORGANS. 20. PUNCTURE OF THE 4. Objects. The relief of hydrothorax or pyothorax. Instruments. Razor, scissors, trocar, i m. of rubbertubing of the same size as the trocar, vessel for receivingthe escaping fluid, dressing material. Technic. Operate upon the standing animal, the pointof operation being the seventh intercostal space on the leftside, and the sixth on the right. Dogs may be laid upon. Fig. of the ciiest; puncture of the intestine. the table. The anterior ribs are so covered by the shoulderthat they cannot be counted from before backwards andmust be enumerated from behind forwards. In the horsewe estimate eighteen ribs and in the dog fourteen. Count-ing II or 12 intercostal spaces from behind we reach the PUNCTURE OF THE INTESTINES. 87 point of operation on the left and right sides or shave the designated intercostal area immediatelyabove the thoracic vein. Grasp the trocar firmh^ with thethumb and index finger of one hand at such a distancefrom the point as will permit the canula to enter the the skin over the seat of operation has been drawnaside by the hand, place the trocar at the anterior borderof the rib with the point inclined slightly forward and witha sharp blow with the palm of the other hand drive the in-strument through the skin, cutaneous and intercostal mus-cles, internal th
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Keywords: ., bo, bookcentury1900, bookdecade1900, booksubjectveterinarysurgery
