144 Surgical Diseases and Surgery of the Dog 



subsequent to this operation. Hobday found that a hearty meal 

 of solids- is apt to induce violent peristalsis after the bowel has 

 been at rest for a longer or shorter period, and may -cause tearing 

 out of the sutures and protrusion of the intestines through the 

 abdominal wound. For similar reasons vomiting must be guarded 

 against 



BIBLIOGRAPHY. 



Froebner— MbnatBh. f. prakt. Thierhellk. 1893-84. 



Glock — Langenbeck'B Arcbiv. t. kiln. Chlr. 28, p. 3. 



Griffiths— Joarn. Anat. & Fbys. 1894-9S, 29, p. 62. 



Hobday — Jonrn. Comp. Path. & Tbecap. Sep., 1899. 



Knmmer — Laugenbeck's Arcblr. f. kiln. Chlr. 13, p. 634. 



La Torr« — La Gjnic. April, 1897. 



Moeller — Lehrb. d. spec. Chlr. f. Thleraerate. 



Parkes — Gnnsbot Wounds of the Small Intestines, p. 27. 



Peterson — ^Joum. Amer. Med. Assn. 1901, p. 808. 



Senn — Intestinal Snrgery. p. 181. 



Stoes— Monatsh. t. prakt. Ttaierbeilk. 1896-97. 



Venneholm — Tbieraerztl. Centralb. Jnne, 1888. 



Vincent— RfiT. de Chlr. 1881, p. 666. 



Znamensky — LangenbecVs Archlv. f. klla. GMr. 31, p. 149, 



The Peritoneum, Mesentery, and Omentum 



The Omentum and Mesentery being but duplicatures of the 

 Peritoneum will be considered together with the latter. 



TRAUMATIC LESIONS. 



Wounds of the peritoneum occur as a complication of pene- 

 trating wounds of the abdominal wall. So long as such lesions do 

 not bring about the presence of putrescible material they usuaHy 

 terminate favorably, repair by fibrinoplastic formation quickly fol- 

 lowing. 



Treatment. In general, uncomplicated peritoneal wounds 

 should be left to themselves, the only indication for surgical inter-, 

 ference being the presence of putrescible material, when removal 

 of the latter and irrigation should be practised. It would seem 

 as if Nature had destined the Omentum to play the part of a 

 reparative or protective operculum, for this organ invariably be- 

 comes adherent to the site of peritoneal wounds. 



Mesenteric and Omental wounds should always be sutured as 

 they predispose to strangulation by passage of a loop of bowel 

 through them. But omentum and mesentery should never be li- 

 gated en masse, but each individual vessel should be searched f»r 

 and sutured separately, because tissues often shrink after operation 



