Fistula of the withers and poll-evil . Fig. 13.—Poll Evil Showinc I^eformity Due to theTreatment With Caustics. bleeding will he controlled to some extent. Separating the ligament from the occipital Crest. Second Step,—This to us is the most TREATMENT 131 important part of the operation, as it suppliesthe first landmark for the subsequent resec-tion. Those who ignore this step will find it. Fig. 14.— A Reclrf^ext Cask After Temporizing Treatment,Note the scars from lateral incisions through which drain-age had 1)een attempted. difficult to locate the ligament and will oftenabandon the work wit
Fistula of the withers and poll-evil . Fig. 13.—Poll Evil Showinc I^eformity Due to theTreatment With Caustics. bleeding will he controlled to some extent. Separating the ligament from the occipital Crest. Second Step,—This to us is the most TREATMENT 131 important part of the operation, as it suppliesthe first landmark for the subsequent resec-tion. Those who ignore this step will find it. Fig. 14.— A Reclrf^ext Cask After Temporizing Treatment,Note the scars from lateral incisions through which drain-age had 1)een attempted. difficult to locate the ligament and will oftenabandon the work without having accomplished 132 FISTULA AND POLL-EVIL the main object—the resection of the hgament. In this step we lay the scalpel aside and takeup the probe-pointed bistoury. We first passthe index finger of the right hand under thehgament right at the crest and using the fingeras a guide pass the bistoury under it, cutting-outward and upward. The ligament throughits extreme elasticity will contract backwardsas fast as it is cut and tlius reveal itself to theoperator. That is, the end will come right outinto the foreground after contracting back-ward an inch or more. We then grasp the endwith a tumor forcep and dissect it in the back-ward direction as it is drawn upon with the for-cep. Over the region most badly damaged bydisease it will be found so fused with the otherconnective
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