. Diseases of cattle, sheep, goats and swine. Veterinary medicine. with sterilised strong silk, the skin heing afterwards brought together with silk sutures after removal of the sac itself. A surgical dressing can then be applied to the umbilicus. The patients should be carefully dieted. When the hernial ring is large and its lips widely dilated, the silk sutures, even when supported by secondary sutures, sometimes cut through the tissues and do not achieve the desired result. Degive's method (see "Moller and Dollar's Eegional Surgery," p. 304) can then be employed. The hernial sac i
. Diseases of cattle, sheep, goats and swine. Veterinary medicine. with sterilised strong silk, the skin heing afterwards brought together with silk sutures after removal of the sac itself. A surgical dressing can then be applied to the umbilicus. The patients should be carefully dieted. When the hernial ring is large and its lips widely dilated, the silk sutures, even when supported by secondary sutures, sometimes cut through the tissues and do not achieve the desired result. Degive's method (see "Moller and Dollar's Eegional Surgery," p. 304) can then be employed. The hernial sac is opened under anti- septic precautions, in order to break down any existing adhesions, and the skin and edges of the hernial ring are transfixed with packing needles about 8 inches long. Above these is adjusted a clam, which is closed, by means of a screw and firmly secured. The packing needles are then replaced with horse-shoe nails, the points of which are bent round. In about a week the ne- crotic tissue falls away, and recovery occurs even in severe cases in which previous treatment had failed. Fig. Fig. 222.—Schema illustrating Degive's operation for umbilical and ventral herniae. A, Serous; B, musculo- aponeurotic, and C, cutaneous coats of the hernia; D, the special needle in place ; EE, clams ; FF, nails. The three figures show bhe successive stages of the operation. ACQUIRED HERNIA. Acquired or accidental hernise are not serious, and only deserve to be studied in so far as they affect organs contained within the abdominal cavity. They may result from violence, or may occur without the intervention of any external cause. Traumatic herniae may occur at any point in the abdominal wall. Under the influence of a violent blow from a waggon pole, a horn thrust, a kick, a fall, etc., the muscular tunic of the abdominal wall is injured and becomes fissured in the direction of its fibres. The peritoneum is rarely affected. Being pushed outwards by the digestive viscera, h
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectveterin, bookyear1920
