kes it easy to bring the other
missing limb or the head into position. The first consideration is to skin
the limb from the fetlock up and leave the skin attached to the body. The
reasons for this are: (_a_) That the skin is the most resistant structure
of the limb, and when it has been removed the entire limb can be easily
detached; (_b_) the tough skin left from the amputated limb may be used as
a cord in subsequent traction on the body of the calf; (_c_) the dissection
and separation of the limb are far more safely accomplished under the
protection of the enveloping skin than if the operator's hands and
instruments were in direct contact with the walls of the passages or womb;
(_d_) the dissection can be much more easily effected while the skin is
stretched by the left hand, so as to form a comparatively firmer resistant
point for the knife, than when it is attempted to cut the soft, yielding,
and elastic tissues which naturally offer little solid resistance, but
constantly recede before the cutting edge of the instrument. The
preservation of the skin is therefore a cardinal principle in the
amputation of all parts in which it is at all feasible.
The presenting foot is inclosed in a noose and drawn well out of the
passages. Then a circular incision through the skin is made around the limb
just above the fetlock. From this the skin is slit up on the inner side of
the limb to the breast. Then the projecting part of the limb is skinned up
to the vulva, traction being made on the foot by an assistant so as to
expose as much as possible. The embryotomy knife may now be taken (Pl. XXI,
fig. 2), and a small hole having been cut in the free end of the detached
portion of skin, that is seized by the left hand and extended while its
firm connections with the deeper structures are cut through. The looser
connections can be more quickly torn through with the closed fist or the
tips of the four fingers held firmly together in a line or with the spud,
of which there are several kinds. Much of the upper part of the limb can be
skinned more speedily without the knife, but that must be resorted to to
cut across tough bands whenever these interrupt the progress. The skinning
should be carried upward on the outer side of the shoulder blade to the
spine or nearly so. Then with the knife the muscles attaching the elbow and
shoulder to the breastbone are cut across, together with those on the inner
side of the shoulder joint and in front a
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