Special Report on Diseases of the HorseUnited States. Bureau of Animal Industry
Science
Special Report on Diseases of the Horse
United States. Bureau of Animal Industry
Horses -- Diseases
_Treatment of stone in the bladder._--The treatment of stone in the
bladder consists in the removal of the offending body; in the mare this
is easily effected with the lithotomy forceps. These are slightly warmed
and oiled, and carried forward along the floor of the passage of the
vulva for 4 inches, when the orifice of the urethra will be felt exactly
in the median line. Through this the forceps are gradually pushed with
gentle, oscillating movement until they enter the bladder and strike
against the hard surface of the stone. The stone is now grasped between
the blades, care being taken to include no loose fold of the mucous
membrane, and it is gradually withdrawn with the same careful,
oscillating motions as before. Facility and safety in seizing the stone
will be greatly favored by having the bladder half full of liquid, and
if necessary one oiled hand may be introduced into the rectum or vagina
to assist. The resulting irritation may be treated by an injection of
laudanum, 1 ounce in a pint of tepid water.
The removal of the stone in the horse is a much more difficult
proceeding. It consists in cutting into the urethra just beneath the
anus and introducing the lithotomy forceps from this forward into the
bladder, as in the mare. It is needful to distend the urethra with
tepid water or to insert a sound or catheter to furnish a guide upon
which the incision may be made, and in case of a large stone it may be
needful to enlarge the passage by cutting in a direction upward and
outward with a probe-pointed knife, the back of which is slid along in
the groove of a director until it enters the bladder.
The horse may be operated upon in the standing position, being simply
pressed against the wall by a pole passed from before backward along the
other side of the body. The tepid water is injected into the end of the
penis until it is felt to fluctuate under the pressure of the finger, in
the median line over the bone just beneath the anus. The incision is
then made into the center of the fluctuating canal, and from above
downward. When a sound or catheter is used as a guide it is inserted
through the penis until it can be felt through the skin at the point
where the incision is to be made beneath the anus. The skin is then
rendered tense by the thumb and fingers of the left hand pressing on the
two sides of the sound, while the right hand, armed with a scalpel, cuts
downward onto the catheter. This vertical incision into the canal should
escape wounding any important blood vessel. It is in making the
obliquely lateral incision in the subsequent dilatation of the urethra
and neck of the bladder that such danger is to be apprehended.
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