208 CANINE MEDICINE AND SURGERY 



the possibility of any of its contents entering the 

 abdominal cavity. 



The foreign body is then pressed up against the 

 jtomach wall and an incision made directly over it 

 and large enough for its removal. After the re- 

 moval of the foreign body, the edges of the wound 

 in the viscus are swabbed off with sterile water 

 and sutured closely with the black sewing silk, using 

 the Czerny-Lembert suture.* If the foreign body is 

 located in the lower part of the esophagus .the pro- 

 cedure is as follows : Make an incision into the stom- 



Czerny-Lembert Suture. 



ach, introduce the long forceps as far as the for-_ 

 eign body, and extract it through the stomach 

 wound, which is then sutured as before described. 

 After suturing, the stomach is carefully cleaned o& 

 and replaced in the abdominal cavity. The lapa- 

 rotomy wound is closed and treated in the same 

 manner as described for that operation. Rectal 

 feeding must be kept up for at least a week, and 

 fluid food only allowed by the mouth for another two 

 weeks after the operation. 



*.\ combination of Czernv's and Lembert's sutures in circular 

 enterorrhaphy; named for Vincent Czerny, a Heidelberg surgeon 

 born in 1842, and Anloine Lembert (1802-1851), a French surgeon. 



