OPERATIONS AGAINST PROLAPSE OP "THE VAGINA 



44? 



thread of the first stitch which was left dangling is utilized 

 to complete the last one. 



The very best subsequent management of the patient so 

 operated upon consists of the administration of frequent 

 copious enemata of warm water to prevent harsh friction 

 from dry feces. Laxatives, drenches and succulent feeds are 

 also helpful in the same direction. The sutures require no 

 further attention. 



The success depends upon whether or not the sutures 

 succeed in maintaining the continuity of the rectum until 

 union by healing is safely effected. In large animals recov- 

 eries are rare, on account of the impossibility of immobilizing 



Pig. 231 — Complete Prolapse of the Rectum. (Bayer.) 



the sutured rectum against the movements incident to def- 

 ecation. The artificial suspension of all intestinal movements 

 by the administration of opiates, which brings a measure of 

 success to similar operations in human beings, is not 

 practiced in animals, on account of the certainty of provoking 

 fatal intestinal complications thereby. 



Operations Against Prolapse of the Vagina. 



Like prolapse of the rectum this abnormality may be 

 partial or complete. The partial form, which is common in 

 dogs, is treated in the same manner as that of the rectum. 

 Attempt is made to replace and retain it by simple means, 

 and when this fails ablation by ligation and amputation is 



