LAPAROTOMY. 
.313 
As a last resource, laparotomy may be tried, though it generally comes 
too late, the animal’s strength being gone before operation is determined on. 
Siedamgrotzky, however, was successful with a dog which had swallowed 
a large flint stone. Adam removed a grape shot from the stomach >y 
Fig. 136. 
Gely’s bowel suture. 
Fig. 137.— 
Lembert’s bowel suture. 
Fig. 138.— . 
Wolfler’s bowel suture. 
aastrotomy and effected a cure. The strictest antisepsis is however, 
necessary y After narcotising the dog with morphine, followed by ®thei, 
HS with chloroform, the lower surface of the abdomen between 
theiimbiHeus.»d M o,umbilfcu, and pobi. i. 
The skin is then cut through close to the lmea alba, and the musculai 
tissue divided for a distance of 2 to 3 inches. The peritoneum is nex 
incised (vide “ External Herniotomy”), the finger introduced into the cavity 
to prevent injury to the bowel, and the peritoneum finally divided to 
the same extent as the abdominal walls. Two or three fingers are now 
introduced into the peritoneal cavity, and the foreign body sought. To 
prevent prolapse of the bowel, the left hand, or, preferably, a cloth 
saturated with disinfecting fluid, is laid on the wound. Prick passes one 
or more silk sutures through the entire thickness of each lip of the 
wound (including the skin, muscles, and peritoneum), and uses these 
sutures to hold apart or to approximate the edges. 
It often takes some time to discover the affected piece of bowel, and 
one must not lose patience. As soon as^ the part is felt, it should, if 
possible, be drawn through the abdominal wound. The portion o 
