DEPARTMENT OF SURGERY 
371 
operation that is followed with very flattering results. In the 
dog gastric wounds are accompanied with very alarming symp¬ 
toms, but are not so serious as in the horse, and their surgical 
treatment is generally followed with very good results. Wounds 
of the uterus should be stitched with sterilized catgut thoroughly 
cleaned and replaced. W ouuds of the kidneys are usually de¬ 
tected by the passage of bloody urine ( hemaluresis ) and are 
generally serious complications. The only surgical treatment 
m such cases is an incision of the kidney ( wcph vovcctoitiy ). 
When the bladder is perforated the urine escapes into the 
cavity. The flowing of urine from the abdomen through the ex¬ 
ternal wound is an indication that the complication is a rup¬ 
tured or punctured bladder. Anuria is another condition 
which is very suggestive in such instances. In large domestic 
animals such injuries are serious and generally terminate 
fatally; but in carnivora the ureters can be anastomosed with 
the rectum, which affords an exit for the urine through it and 
the anus. 
Animals often die shortly after receiving wounds of this 
character, either from shock or internal haemorrhage. In every 
case the condition of the pulse and mucous membranes should 
be immediately ascertained, and if the indication points to in¬ 
ternal haemorrhage the first step in the treatment of such, cases 
is to arrest it; this being done the wound may be treated as 
the indication demands. In case of collapse from loss of blood 
transfusion or a subcutaneous injection of a normal salt solution 
(hypedermoclysis ) should be used to stimulate the patient. The 
temperature of the solution should be above normal (no— 
n5°F.). 
Shock is another condition which should be carefully 
studied. In some cases it may be considered as nature’s method 
of arresting haemorrhage, and an early action may be detri¬ 
mental. Provisional work, or assistance of any kind that will 
not inflict pain but alleviate it, is decidedly the best procedure 
in some cases. To delay an operation, however, may be bene¬ 
ficial or injurious, and to decide whether to operate during pro¬ 
found shock or to wait for a reaction requires good judgment. 
By exercising care and good judgment many of these abdomi¬ 
nal wounds can be brought to a satisfactory termination ; the 
management of these wounds and injuries requires a more 
thorongh observance of the details of asepsis and antisepsis 
than other wonnds ; the main object in treating them is to con¬ 
vert them into surgical ( aseptic ) wounds, by cutting away the 
