Anus] 1 2 [Anus 



Treatment: Return the protruding part as 

 quickly as possible. This is best done by 

 holding the dog up with the hind legs, and 

 then after vaselining the part, applying firm 

 pressure with the fingers, and the prolapsus will 

 slip in. This is very simple and easy, but the 

 difficulty is to keep it in. There are several ways 

 of trying to do this, but first of all give a 

 small enema, from one 1 to four teaspoonfuls of 

 thick boiled starch, with from five * to twenty 

 drops of laudanum to stop the straining. In a 

 recent case this may have the desired effect, 

 and the prolapsus not return ; if it does, then 

 it must be put back as before, and to keep 

 the bowel in, a couple of strong sutures should 

 be placed through the anus, one from above 

 downward, and the other crossways, or what 

 is called a purse-string suture may be inserted. 

 Another way is by inserting and fixing in the 

 bowel by means of tapes the lower insertion 

 portion of an enema tube, the tapes should be 

 passed across the outside of the thighs, then 

 crossed under the belly and tied over the back. 

 But often, in spite of every care and treatment, 

 the dog will keep straining and force the bowel 

 out time after time. In such cases, the only 

 thing to do is to remove the prolapsus by 

 operation. This operation requires a consider- 

 able amount of care, or fatal haemorrhage may 

 occur, or the peritoneal cavity may be opened 

 and peritonitis set up. 



1 According to the size of the dog. See p. 86. 



