626 
DEPARTMENT OF SURGERY. 
incised and the foetus removed, and as soon as this is accom¬ 
plished the parent should be put to death. 
2. To Save the Life of the Mother when the foetus is dead or 
deformed. In this the patient must be carefully anaesthetized, 
and placed in the left lateral recumbent position, with the right 
posterior limb extended backward. The hair must be clipped 
and the surface surrounding the place chosen for the incision 
shaved ; the incision is made through the skin and abdominal 
muscles, which is followed by incising the peritoneum, using all 
the precautions possible to prevent the viscera from being injured. 
The incision should be made at a point located from 7 to 10 
centimeters below the right external angle of the ilium, and ex¬ 
tend downward and forward for a distance of 15 to 20 centime¬ 
ters, as the case may require. The uterus (Fig. 30-a) is then 
Fig 30. 
POSITION OF UTERUS OF THE MARE. 
a, body of uterus ; b, uterine artery : c, uterine branch of vaginal artery ; d, ureter ; e, horns 
of uterus; f, left kidney; g, ovary ; h, fimbriated portion of Fallopian tube; i, broad ligament; 
j, round ligament; k, ilium; 1, internal pubic artery; m, bladder; n, pubis; o, obturator for¬ 
amen (section of); p, ischium. 
brought to the opening into the abdomen and carefully incised, 
with all the necessary precautions taken to prevent the fluid 
from entering the peritoneal cavity ; the foetus and foetal mem¬ 
branes are then removed and the uterus sponged and thoroughly 
washed with antiseptics ; following this the incision is closed 
by applying the Czerny-Leinbert suture. (See Intestinal Su¬ 
tures .) The treatment of the external incision and the after¬ 
care should be the same as mentioned under Ceeiotomy. 
If the patient is a mare she should not be allowed to lie 
down for three or four days, and, if necessary, an improvised 
