2ii CANINE MEDICINE AND SURGERY 



a common sequence. It is often associated with 

 neoplasms on the neck of the bladder, and enlarge- 

 ment of the prostate gland. 



Operation. — Disinfect the area and anesthetize. If 

 the bladder is herniated, evacuate the contents by 

 puncture with fine trocar and cannula. Cut down 

 on to the hernial sac and return the contents to the 

 abdomen. Break down all adhesions, seize the sac 

 with the forceps, twist into pedicle and ligate, and 

 ablate remainder of sac. 



Remove superfluous skin and suture with inter- 

 rupted sutures, dry, and seal with collodion. As 

 soon as the patient has recovered from the opera- 

 tion, perform laparotomy, replace the bladder (if this 

 was the herniated organ), and stitch it to the ab- 

 dominal wall with three sutures, which mvist pene- 

 trate only the muscular wall of the bladder. 



Femoral Hernia 



The technic for the operation on femoral hernia 

 is the same as for inguinal hernia, but due regard 

 must be paid to the proximity of the femoral ves- 

 sels, since the hernia descends through the crural 

 ring. 



