LIGATION OF THE CAROTID ARTERY. 71 



drawn around the neck, the operator taking the same posi- 

 tion as in the horse while an assistant holds the animal by 

 the horns or nose. Close the wound as in a. 



Phlebotom3' with the spring lancet is carried out in a sim- 

 ilar manner, the jugular being compressed in the same way, 

 and the lancet with the spring set placed over the vein in 

 such a way that the opening will be made in the same direc- 

 tion and manner as with the fleams. The lancet blade is 

 then released and penetrates the vein. The compre,ssion be- 

 low is continuedas in other cases. 



c. Phlebototny with the trocar is performed in the same 

 manner as has been described for intravenous injection. So 

 long as the flow of blood continues the compression of the 

 vein must not be intermitted. The phlebotomy trocar should 

 be about 5 mm. in diameter. 



17. LIGATION OF THE CAROTID ARTERY. 

 Pl,ATE XII. 



Objects. The control of hemorrhage from wounds or 

 the prevention of hemorrhage during the removal of tumors 

 or other operations in the parotid region. 



Instruments. Scissors, scalpel, tenacula, aneurism 

 needle, mouse-toothed forceps, ligation forceps, suture 

 material. 



Technic. The operation is possible on the standing 

 animal with the aid of cocaine or other local anaesthetic but 

 it is preferable to confine the patient in lateral recumbency 

 and anaesthetize. 



The operation is made at the same p oint as f or-pMebotomy 

 and the same cutaneous wound, a, Plate XII, may be used 

 for this purpose. The incision should be at least lo cm. 

 long extending through the skin, fleshy panniculus and 



