OPERATIONS AGAINST PROLAPSE OP THE RECTUM 



445 



ligation becomes necessary. This is accomplished by weav- 

 ing a tobacco-pouch suture of braided silk into the mucous 

 membrane around the peduncle, drawing it taut, and then 

 amputating the growth a safe distance from it. The subse- 

 quent behavior of the wound will depend entirely upon pre- 

 venting injury from harsh feces by administering frequent 

 enemata of plain water, three or four times daily. 



In complete prolapse, which in fact is a real intestinal 

 invagination, entirely different intervention is required. Here 

 too, however, attempt should first be made to replace and 

 retain the displacement, which sometimes meets with flatter- 

 ing success. The author once restored a mare to perfect 

 health by the following proceeding: A dose of chloral 



Fig. 229 — Anal Atresia with Cloacal Arrangement between Rectum 

 and Vagina (Incurable). 



hydrate (twelve drams) was administered in a drench. The 

 protruding rectum was washed with a mixture consisting of 

 cocaine hydrochlorate, one per cent, and morphia hydro- 

 chlorate, three per cent., after having emptied the rectum with 

 a copious enema. The prolapse was then replaced and a 

 strong tobacco-pouch suture was woven deeply around the 

 anus, drawn fairly taut, and tied with a bow-knot. After 

 two hours two ounces of laudanum were administered in a 

 drench. During the succeeding two days the suture was 

 untied at intervals of six to twelve hours and the rectum 

 evacuated with enemata. Subsequently the suture was 

 abandoned entirely, but the enemata were continued thrice 

 daily for a week. The cure was permanent. Several similar 

 procedures on small animals have been equally successful, 



