Diseases of cattle, sheep, goats and swineMoussu, G. (Gustave)
Science
Diseases of cattle, sheep, goats and swine
Moussu, G. (Gustave)
Veterinary medicine
(2.) The second method consists in removing the invaginated portion of
intestine. It is best to apply bichromatised catgut or silk ligatures to
all the arteries which pass from the mesentery into the loop to be
removed; after which the loop itself may be simply divided an inch or
two above and below the invagination, in order to be quite certain that
one is operating on healthy tissue, the divided ends being held
meanwhile by an assistant. The intestine is afterwards sutured with a
fine needle and bichromatised catgut or boiled silk. The form of suture
will be found described in Dollar’s “Operative Technique.” It may be
valuable to test the efficacy of decalcified bone tubes for uniting the
ends of the intestine.
The operation is long, delicate and difficult, and it is imperative not
to infect the abdominal cavity during its performance. To prevent this
the liquid and solid materials present in the bowel may be thrust
upwards and downwards away from the diseased part before the section is
made; and in this way the wound and the operator’s hands are preserved
from infection. The intestine should be kept closed during the
application of sutures by means of flat clamps cautiously applied. In
their absence the ends may be held by an assistant, whose hands should
previously have been carefully disinfected.
(3.) In cases where the serous coats of the two portions of bowel
constituting the invagination are to some extent adherent, another
operation of a less perilous character may be performed. This consists
in liberating the invaginated part by means of longitudinal incision,
without previously disengaging the parts, and without resection. The
invaginated (external) portion of intestine is divided longitudinally;
the gangrenous part immediately becomes visible, and may be removed. The
operator has then only to suture the longitudinal wound, an operation
which is much easier and demands much less time than any circular
intestinal suture whatever. These operations must not be attempted
except in response to the express wish of the owner, who should be fully
informed of the dangers to which they expose the animal; for after the
second day of invagination local peritonitis has often developed and one
is then operating on injured or infected tissues, in itself a very
unfavourable modifying condition. The current formula that “the
operation was very successful” is not accepted in veterinary practice
when the patient dies three or four days afterwards. From the economic
standpoint it is better to slaughter animals of any value, for unless
secondary peritonitis has occurred, and the animal is not feverish, the
meat is fit for consumption. “Volvulus,” or twist of the intestine, is
said to be almost unknown in cattle, though Reichert records a case of
volvulus of the ileum.
COLIC AS A RESULT OF STRANGULATION.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account