282 VETERINARY STATE BOARD 



ten inches. The peritoneum is then incised and the uterus withdrawn 

 through the opening. It should be laid on sterilized gauze which 

 completely surrounds the wound. Next make an incision into the 

 gravid uterus which will readily permit the extraction of the foetus 

 within its membranes. Free the foetus from its coverings as soon 

 as extracted ; suture the wound in the uterus by means of Lembert 's 

 intestinal suture with silk. Close the abdominal wound with inter- 

 rupted sutures, suturing the muscles and skia separately. Place 

 patient in clean, comfortable quarters to recover from the anassthesia. 



Complications to be feared following Cesarean section are: 

 metritis, peritonitis, abscess at seat of incision, and adhesion of the 

 abdominal organs to this part. Internal hemorrhage and collapse 

 are to be guarded against. 



(Records fail to show where the life of a mare has been saved, 

 but a living foetus is often brought forth by this operation.) 



Describe the operation of Cesarean section in multiparous animals. 



See answer to preceding question. In the sow, bitch, and cat, 

 the incision can be made in the flank, although most operators prefer 

 the median line. The technic is the same as in the mare. All the 

 foetuses can be extracted through the one incision into the uterus. 

 A body bandage should be applied after the operation. The prog- 

 nosis is much more favorable than in the mare and cow. 



Describe the method of delivering a posterior presentation (lumbo- 

 sacral position). 

 Apply traction upon the two hind limbs and hasten delivery be- 

 cause of the danger of asphyxiation of the foetus from compression 

 of the cord against the pubic brim. This is considered a normal 

 presentation by many authorities. Should the htad limbs be 

 retained, the dystocia is a very difficult one to overcome. Attempt 

 repulsion and correction of the deviation of the limbs. Forced 

 extraction is employed by some obstetrists, but it is a barbarous 

 and unsatisfactory procedure. Embryotomy should be employed, 

 preferably intrafetal amputation of the two posterior Umbs. 

 Cesarean section is a last resort. 



Describe the method of delivery in deviation of both hind limbs, 

 anterior presentation. 



This is one of the most difficult malpositions the obstetrist has 

 to overcome. Repulsion and correction of the deviation should be 

 attempted to increase the working space, but this is seldom success- 

 ful. Remove one anterior limb and detruncate the foetus. Attach 



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