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th knife or scissors, so as to give the tongue a reasonable degree of liberty. APHTHA, or THRUSH, is another trouble of the sucking calf, showing itself as a white, curdy elevation on th
Page 60 1 match
was not yet absolutely decided, but one was "nevertheless already at liberty to say that, if such a susceptibility really exists, the infection of human beings is but a very rare occurre
controlled by casting or by placing them in a "squeezer" connected with a
corral. A clean, sharp meat saw or a miter saw with a rigid back may be
used. Various types of dehorning shears or clippers are in general use. One
type of dehorner has a stationary knife edge with its cutting edge shaped
like a very wide V, and opposing this, another knife of similar shape
moving in a slide, so that the cutting edges act upon the horn from all
four sides at once, all the edges passing the center at the same time.
Another type has a movable knife, with one oblique or one curved edge, and
the cutting is done in one direction only. The power for cutting with these
instruments is supplied by pulling together two long handles which, in
order to transmit a greater force, are generally so constructed that they
act through the medium of a series of cogs. In dehorning with these
instruments the cutting edges should be slipped down over the horn and the
knives closed, so that their edges set firmly against the horn in such
position that the cut will be made in the right place and in the right
direction. The handles should then be drawn together with a quick, firm,
strong pull so that the horn will be completely severed by the first act
and without twisting.
Dehorning should, when possible, be performed in cool weather when the
flies are not plentiful. The loss of blood from the operation is not
sufficient, as a rule, to be of consequence, and after care being taken to
prevent substances from getting into the openings left after the removal of
the horns it is not usual to apply any dressing. Pine tar or a mixture of
pine tar and tannic acid may be applied, particularly if the weather is
warm.
SETONING.
The ordinary use of a seton is to keep up constant drainage from a cavity
containing matter or to act as a stimulant or counterirritant. To insert a
seton, the place of entrance and exit having been decided on, with the
finger and thumb make a small fold of the skin transversely to the
direction the seton is to be inserted, and cut it through, either with a
sharp knife or a pair of scissors (this should be done at both the entrance
and exit); then with a steady pressure and slight lateral movement insert
the seton by means of a seton needle. (Pl. XXVII, figs. 1 and 2.) The seton
should consist of a piece of strong tape, varying in breadth according to
circumstances, and should be kept in place either by a knot on each end or
by tying the ends together.
Setons should be gently moved once a day after suppuration is set up, and
they should not be allowed to remain in over three weeks, or a month at the
outside.
TRACHEOTOMY.
This operation consists in making an opening in the trachea, or windpipe.
It is indicated whenever there is an obstruction from any cause in the
upper part of the respiratory tract which threatens the death of the animal
by asphyxia (suffocation). The mode of procedure is as follows: Have an
assistant extend the animal's head as far as possible to make the trachea
tense and prominent; make a longitudinal incision about 2 to 2-1/2 inches
long through the skin and deeper tissues and trachea at the most prominent
part of the trachea, which is about the middle or upper third, and then
insert the tracheotomy tube. The latter should be removed once or twice
daily and cleansed, and the wound dressed antiseptically. To ascertain when
it is time to discontinue the use of the tube and to allow the wound to
close, the hand should be held over the opening, which will require the
animal to use its natural passages in breathing. Observe whether it is
performed in a natural manner, and if so, remove the tube and allow the
wound to close. Often the operation has to be performed in great haste
without the proper instruments and under great disadvantages, the operator
having to cut down quickly, open the trachea and spread the parts, using
some instrument improvised by him at the time. This operation only gives
the animal relief in breathing, and therefore the proper remedial treatment
should be adopted at the onset of the attack and continued until the cause
(the disease) has been overcome.
RUMENOTOMY.
The opening of the paunch, or rumen, in cattle and the removal of a part or
the whole of the ingesta through said opening is termed rumenotomy. The
operation should be performed in severe cases only, where the rumen is
excessively overloaded and distended. The animal is placed with its right
side against a wall and firmly held in position by strong assistants. The
incision is made in the same place that the trocar is inserted for
puncturing that organ in cases of hoven. The opening is increased in size
until the operator's hand can be inserted into the rumen. Before any of the
contents are removed from that organ a linen cloth should be placed from
the outer wound into the rumen in order to prevent any of the ingesta from
getting into the abdominal cavity. Some practitioners, after removing a
portion of the contents of the rumen, introduce such medicine as may be
indicated before closing the wound. Clean the wound and close the opening
in the rumen with uninterrupted (Pl. XXVII, fig. 8) carbolized catgut
sutures. Next close the external wound, consisting of the integument,
muscle, and peritoneum, with stout, interrupted (Pl. XXVII, fig. 6)
metallic sutures. No feed should be given for several hours after the
operation, and then gruels only. (See "Distention of rumen or paunch with
feed," p. 26.)
TREATMENT OF ABSCESSES.
An abscess may be detected, if situated externally, by heat, pain, redness,
and swelling in the early stages, and, if further developed, by the
fluctuation which is present. When any of these symptoms are absent, the
suppuration should be encouraged by the means of hot fomentations and
poultices. Care must be taken that the abscess is not opened too soon, or
to some extent it may cause it to scatter, and the escape of pus will be
lessened. The time to open an abscess is just before it is ready to break,
and should be done with a sharp lance, a crucial incision sometimes being
necessary. The cavity should be syringed out with an antiseptic solution.
Care should be taken not to allow the wound to close too rapidly, to
prevent which a tent of lint or oakum should be introduced.
WOUNDS.
For the purposes of the present work wounds may be divided into three
classes: (1) Incised; (2) punctured; (3) lacerated or contused. In any
wound all that the most suitable applications can accomplish is, in the
first place, to prevent the access of those poisonous germs which exist in
the animal's surroundings, such as the soil and the manure, and, in the
second place, when the process of repair is for some reason temporarily
inactive or altogether arrested, to incite that curative inflammation that
is the invariable method by which the cure is effected.
INCISED WOUND.--This is one with clean-cut edges, and may be either
superficial or deep. In wounds of all descriptions there is necessarily
more or less bleeding, and this is especially liable to be the case in
incised wounds, particularly when they penetrate to a considerable depth,
or when inflicted on a part where blood vessels of any considerable size
approach the surface. To arrest the hemorrhage must therefore be the first
consideration. If slight, a generous use of cold water is all that is
necessary, but if one or more vessels of any size have been wounded or
entirely severed, they should be taken up and ligated. If the blood flows
continuously and is dark in color, it proceeds from a vein, but if
bright-colored and jerky in its flow, it is arterial.
The taking up of an artery simply means the tying up of the bleeding
vessel, which should be accomplished as follows: To discover the bleeding
artery take a piece of clean absorbent cotton, dip it in cold water, and by
gentle pressure on the wound clear it of the accumulated blood. The jet of
fresh blood reveals the end of the vessel, which is readily recognized by
its whitish-yellow or buff color. It should be seized with a forceps or
pincers and slightly drawn clear of the surrounding tissues. Now take the
thread and place the middle of it under the artery, take up the ends, tie
one simple knot tightly, pressing the thread down with the forefinger so as
not to include the forceps, then a second one over it and cut off the ends.
The bleeding being arrested, the operator can now carefully clean and
inspect the wound, taking care to remove all blood and foreign matters and
clip the hair around the edges before proceeding to stitch it up. If the
wound is superficial, the lips may be brought together by a series of
independent stitches (Pl. XXVII, fig. 6) about one-half of an inch to
three-fourths of an inch apart. The stitches should not be drawn tightly;
it is sufficient to bring the edges of the wound in apposition.
If the wound is deep, the needle should be introduced perpendicularly at as
great a distance from the lip of the wound as the depth it is to be
inserted, so as to give the thread sufficient hold. All the stitches should
be as nearly as possible at equal distances from the border of the wound,
to prevent unequal strain, and the knots should be made at the side, not
over the wound. (Pl. XXVII, fig. 6.) When the wound is large and deep, care
should be taken to have an opening in the lowest part to allow for the
escape of the discharges.
In deep wounds which run crosswise of a limb or muscle it is often
advisable to use what is technically known as the "quilled suture," which
is most readily understood by reference to Plate XXVII, figure 7. To
accomplish this method a curved needle with an eye in the point and a
strong double thread should be used. The needle thus threaded is introduced
perpendicularly at least an inch from the wound on one side, carried across
below and brought out the same distance from the border of the cut on the
opposite side, the thread being seized and held in position while the
needle is withdrawn, leaving a loop of thread protruding on one side and
two loose ends on the other side of each stitch. When enough stitches have
been made, take a light piece of wood about the size of a lead pencil,
corresponding in length to the size of the wound or slightly longer, and
insert it through each of the loops, drawing up the free ends of the
threads, which should in turn be tied securely on a similar piece of wood
on that side.
PUNCTURED WOUNDS.--Owing to the uncertainty of their depth and the
structures they may involve, punctured wounds are by far the most dangerous
and difficult to treat. Not only is the extent of the damage hidden from
view, but the very character of the injury, as can be readily understood,
implies at least the possibility of deep-seated inflammation and
consequent discharge of pus (matter), which, when formed, is kept pent up
until it has accumulated to such an extent that it burrows by simple
gravity, as no other exit is possible. In this way foreign matters, such as
a broken piece of the stake or snag, or whatever caused the wound, may be
carried to an indefinite depth, or the cavity of a joint may be invaded and
very serious, if not fatal, consequences occur.
The danger is especially marked when the injury is inflicted on parts
liable to frequent and extensive motion, but all cases of punctured wounds
should receive unusual care, as no judgment can be accurately formed from
the external appearance of the wound. While a probe can ascertain the
depth, it throws but little light on the extent or exact nature of the
internal injury. For this reason all punctured wounds should invariably be
carefully searched by means of a probe or some substitute devised for the
occasion, such as a piece of wire with a smooth blunt end, or a piece of
hard wood shaped for the purpose. Stitching is not admissible in the case
of punctured wounds. After thoroughly cleansing the opening of the wound
and its surroundings, tincture of iodin should be injected directly into
the wound.
If a punctured wound is not very deep, and when the bruising and laceration
are slight, it is possible for healing to take place by adhesion, and this
should always be encouraged, as the process of repair by this method is far
superior to that by granulation, which will be referred to later. With this
object in view, the animal should be kept as quiet as possible. A dose of
physic, such as a pound of Glauber's or Epsom salt, should be administered,
and warm antiseptic fomentations or poultices, when this is practicable,
applied frequently to the surface of the wound.
In wounds of this description the process of repair may be complicated by
the appearance of exuberant granulations, popularly known as "proud flesh,"
which is really an overgrowth of new tissue--granulation tissue; but these
should not be interfered with unless they continue after the acute stage of
inflammation has been subdued. If, after this, they persist, they may be
treated with a 10 per cent solution of sulphate of copper (bluestone) or
nitrate of silver (lunar caustic) in water.
CONTUSED OR LACERATED WOUNDS.--These are usually caused by a blow with some
blunt instrument or by falls. The seriousness depends largely on the depth
of the injury, and treatment should be directed to allaying the
inflammation and preventing the consequent tendency to sloughing. To this
end soothing applications, such as antiseptic fomentations and poultices,
are plainly indicated.
METHODS OF HEALING.--Technically these may be divided into a number of
distinct processes, but practically we may speak of them as two only,
namely, by primary union, or adhesion, and by granulation. As suppuration
is not so liable to occur in cattle as in horses, healing by the former and
more speedy process is much more common in the first-named species, more
particularly in clean-cut or incised wounds, provided they have been
stitched within 12 hours from the time the injury which caused them was
inflicted, that they have been kept antiseptically clean, and that the
patient by some means has been kept fairly still. This latter stipulation
is probably hardest to comply with. Quiet is an important factor in the
process of repair among the lower animals.
The second method of healing, namely, by granulation, which is, however,
the manner in which most wounds in animals heal, takes much longer. In
punctured wounds of any depth healing necessarily takes place in this way
only, and the treatment should be directed largely to alleviating pain and
moderating inflammation.
AFTER-TREATMENT AND DRESSING OF WOUNDS.--The dressing of wounds is one of
the most important branches of veterinary surgery, and one of the most
constant difficulties that the practicing veterinarian has to contend with
lies in the lack of cooperation on the part of owners in the care and
attention in the after-treatment of wounds.
In summarizing the treatment of wounds, the following recommendations
should be observed: wounds must be cleansed and kept clean, using
antiseptic solutions which do not produce irritation, and applying the
solutions with a syringe or with clean pieces of absorbent cotton. Bleeding
should be stopped before the closing of the wound by sutures or bandages.
An opening at the bottom of all wounds except small superficial wounds
should be provided as a drainage outlet for the escape of wound secretions
or pus if it should form. The edges of wounds and the muscles involved in
the wound should be kept as quiet as possible during the process of
healing. Every wound should be protected by a sterile or antiseptic
dressing whenever it is possible to retain a dressing in place. Dressings
should be changed when it is apparent that they have become drenched with
wound secretions or pus, or have become disarranged or too loose,
permitting dirt to enter between them and the skin. If swelling appears
beyond the edges of a bandage, it is an indication that it is too tight and
it should then be removed and again applied.
The hands of the operator and all instruments and dressings coming in
contact with a wound at any time should be made as clean as possible by the
use of antiseptics.
BARBED-WIRE CUTS.--We have specified these simply because in some sections
of the country there is a fixed idea that there is a specific poison in
barbed wire, causing injuries which require treatment differing from that
which is applicable to ordinary wounds. Barbed-wire cuts differ from
ordinary wounds only in the parts being often lacerated and torn, and the
treatment already indicated for wounds of that description is applicable to
them.
CASTRATION.
Castration consists in the removal of the essential organs of generation,
and is performed upon both the male and the female. In the male the organs
removed are the testicles and in the female the ovaries.
CASTRATION OF THE MALE.
Castration in the male is performed for several different purposes. It may
be necessary, as is the case in certain diseased conditions of the
testicles and in strangulated hernia, but the usual object of the operation
is to enhance the general value of the animal. For example, if the animal
is intended for burden, the operation will better fit him for his work by
so modifying his temperament and physical condition that he may easily be
controlled by his master. Again, if he is merely to be used for beef
purposes, the operation will improve the quality of the flesh and cause an
added development of the most valuable portions of the dressed carcass.
The operation upon the female may be performed on account of diseased
conditions, but we may say that the chief object of the operation is to
make the animal one of more profit to its owner by lessening the lacteal
secretion and also improving the physical condition from the point of view
of beef production. When the cow is spayed, it does away with all trouble
attending estrum, or heat, gestation, and parturition with its accidents
and ailments. The flesh of the spayed cow is more tender and juicy than
that of the natural animal.
The operation upon the male may be either the uncovered or the covered. In
the former the incision is made down to the testicle proper, and in the
latter the cut is made through the scrotum or the outside covering and
through the dartos, or the next coat, care being taken to cut no deeper
tissues or coats. The age at which the operation is performed varies, but
usually it is performed between the second and third month. If done in
early life, there is less danger of complications, the organs being in a
latent condition and not fully developed. There are many different methods
of operating, the principal ones of which we shall mention. In the
uncovered operation a good free incision should be made, exposing the
testicle completely. Now it may be removed by simply cutting it off. The
only danger of doing this is that hemorrhage is liable to follow. To
obviate this, before the division of the spermatic cord it should be
twisted several times in the following manner: Take hold of the cord with
the left hand, having it between the thumb and the index finger. Now twist
the free portion several times with the right hand, all the time being
careful to push with the left hand toward the body of the animal. In this
way the danger of injury to the cord during the animal's struggles will be
overcome. There will be no hemorrhage, or very little, if it has been done
properly. This is the most simple manner of torsion. There are forceps and
other instruments made to perform the operation in this manner. The actual
cautery is an old method, but we shall not describe it, as we consider that
we have better methods now. The next method with the clamps, although
extensively used upon the horse, is not practiced to so great an extent
upon the bovine at the present time. It is a very old method, and is
considered very safe. Clamps are used in the covered and uncovered
operations.
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