REPORTS OF CASE8. 
205 
I might operate if I still considered it advisable. So I had the 
horse led into the barn, and with the assistance of the groom, who 
held a lamp over my shoulder, I began the operation, without 
placing any restraint upon the animal, and did not require any 
during the operation. I cut through the skin on the left side 
and the middle third of the neck, dissected through the sub cutane¬ 
ous muscle (of the neck), separated the jugular vein from the cellular 
tissue, pushed aside the omo-hyoideus muscle, then separating 
the carotid artery, the pneumogastric and sympathetic nerves 
from the connective tissue, and exposed the oesophagus attached 
to the trachea, which I opened on its superior face after separat. 
ing the trachea and bringing it outside the opening. 
I passed a probang and could feel the apple at or very near the 
cardiac opening of the stomach, but could not move it owing to 
the contraction of the muscular coat of the oesophagus. So I left 
the beast for the night, and the next morning, with the assistance 
of J. S. Saunders, D.Y.S., of Boston, the apple was pushed into 
the stomach. The wound in the oesophagus was then sewed with 
a continuous suture, bringing the mucous membrane in apposition 
and leaving the ends of the suture outside; the outer wound wao 
brought together with an interrupted suture and then treated 
as a simple wound, leaving orders that the beast be fed per rec¬ 
tum with cooked food, and kept tied up so she could not rub her 
neck. 
July 25.—Saliva escapes from the wound, but very little 
swelling. 
July 26.—Discharge of saliva as abundant as last night. The 
animal broke her halter and rubbed her neck, breaking away 
most of the sutures, and the parts are swollen quite badly, but 
can get a couple of stitches in the oesophagus. She was placed in 
a sling and the same treatment continued. At the end of the 
week her rectum became so irritable that she could not retain her 
food, so I put a rubber pipe about £ inch in diameter and about 
feet long into the oesophagus, with a funnel in the end, through 
which she was fed five times in twenty-four hours. She has lost 
considerable flesh, but looks bright and has a good pulse; her 
bowels do not act very regularly, so I give her enemas. 
