Accidents and Operations. — 385 
A. First Intention ; zc. immediate reunion of the parts 
without the formation of new material. 
B. Adhesive Inflammation ; or the exudation of lymph 
on both cut surfaces, 
C. Granulation; or the formation of small masses of 
new flesh, over which a secretion of pus is continually 
poured. | 
D. Scabbing or Crusting ; a covering formed by nature 
of dried exuded matter on the raw surface, as pus, blood, 
or lymph, mingled generally with dirt or dust. 
The final result of either process is a scar or cicatrix, 
varying in character and dimensions according to the 
method by which the wound is healed. In our hairy- 
coated patients, this is not of so much moment as it is on 
uncovered human skin. 
Incised wounds are generally most amenable to treat- 
ment. In those recently inflicted it is always advisable, if 
possible (unless there are diseased deep-seated structures), 
to obtain union by the first intention. To effect this, after 
the wound has been cleansed and the hemorrhage has 
ceased, the lips are brought into direct apposition (taking 
care no hairs get between), and so maintained by sutures 
or plaster ; the latter will necessitate the shaving off the 
hair before it can be applied. 
The animal must then be so secured that it cannot 
interfere with the part. For though the dog’s tongue is 
undoubtedly a great cleanser, it is neither a healer nor aid 
-to apposition, and the sooner such an idea is exploded the 
better. Omit this precaution, and the surgeon’s work will 
speedily be undone; the animal will persistently lick the 
wound, and keep it gaping open. It then heals by granu- 
lation, for it cannot do so by any other method. The 
result is a broad unsightly cicatrix, instead of the fine, and 
in time, almost inperceptible seam left from union in the 
first instance by direct apposition, with or without the first 
intention, 
