V/SEASES OF THE RECTUM AND ANAL REGION 211 



is closed and the patient carefully dieted, as already described, 

 opium being gi\'en for the first forty-eight hours. 



Mr. H. Oayi and Professor Lienaux^ {An7iales de Med. Vet.') have 

 each reported a successful case treated in this way, and the subject of 

 the illustration (Fig. 141) was a bull puppy, operated upon by the author 

 in conjunction with Mr. F. H. Ridler, M.R.C.V.S., for persistent prolapse 

 of the ileum through the anus. When laparotomy was performed an ex- 

 tensive intussusception was discovered. This was reduced ; the bowel 

 was sutured to the abdominal wall as already described, the patient making 

 a satisfactory and permanent recovery. 



Fig. 141. — Suture of the Bowel to the Abdominal Wall. 

 AA, Skin ; B, abdominal muscles ; C, mesentery ; D, rectum ; E, bladder. 



Amputation of the Prolapsed Portion, — When the 

 rectum has been out for some days, and adhesions ha\-e 

 taken place, it is often impossible to return it, and amputa- 

 tion must be practised. The patient is placed on the 

 operating-table in the abdominal position (see p. 19), the 

 anal region is carefully shaved and disinfected, and anti- 

 septics are thoroughly applied to the e.xterior and interior of 



1 Veterinary Joiir72al. ' Ibid. 



14—2 



