SURGICAL HEMOSTASIA. 523 



2d. The Valet Method. — After the preparation of the foot, as 

 with the other method, a groove is made. It is posterior and 

 parallel to the line which marks the separation of the wall and the 

 sole, and the iacision is made transversely, with a bistoury or a 

 sage-knife. It is usually followed by a good flow of blood. An 

 ordiuary shoe is then placed on the foot, and a compressing dress- 

 ing of oakum put on and kept in place by plates. 



3d. Grepin's Method. — The difference between this and the 

 other processes consists in making the incision with a narrow draw- 

 ing-knife, which provides a larger opening for the escape of the 

 blood. A wide-webbed shoe, with a padding of oakum over the 

 wound, suffices to control the hemorrhage. 



All of these methods have the same object in view, but many 

 veterinarians prefer to make the incision a little back of the Hne 

 separating the sole from the wall, and right at the toe, and they 

 sometimes remove a small portion of the sole with the sage-knife 

 or the bistoury. 



The dressing which is required in these cases must be care- 

 fully applied, as protruding granulations may sometimes make 

 their appearance, and interfere with the cicatrizing process. If 

 the hemorrhage which accompanies the operation should be con- 

 sidered insufficient, it can be stimulated by placing the animal in 

 a foot-bath of blood-warm water. 



SUEGICAL HEMOSTASIA. 



The extraneous hemorrhage, whether it be avoidable or un- 

 avoidable, which may occur during an operation, forms one of 

 the most embarrassing of the interferences to which the sur- 

 geon is liable, not only from the difficulties it interposes in the 

 way of the success of the operation, by disturbing his manipula- 

 tions, but as well, sometimes, by the effect of the loss of blood 

 upon the patient. It may happen, indeed, that instead of ceasing 

 spontaneously, or yielding to the effects of the ordinary dressings, 

 the hemorrhage becomes so obstinately persistent as in itself to 

 constitute a serious, and, if unsubdued, a fatal accident. It be^ 

 comes necessary therefore for the operator, as one of the practical 

 elementary incidents of his calling, to be always prepared in an 

 emergent case to arrest the rebellious circulation by prompt and 

 efficient measures. Hemorrhage being an essential danger in all 



