gain both inner and outer faces of the reverted
skin-flaps. This done the flaps are allowed to fall into position and
sutured there with carbolized silk or gut.
Another liberal application of an antiseptic dressing follows this.
Iodoform, iodoform and boracic acid, or chinosol, is freely dusted over
the wound and for some distance around it. Bayer, however, again prefers a
dressing of the wound, and especially the moistening of the line of sutures
with the 1 in 5 solution of iodoform in ether.
Over the wound is then placed a protective layer of gauze, impregnated
either with boric acid, with a mercuric salt, or with iodoform.
Finally, numerous small and lightly-rolled balls of dry carbolized tow
are packed regularly over the whole of the operation wound, and the foot
bandaged.
Practical points to be remembered in this after-dressing are: (1) The
balls[A] of tow should be numerous enough to exercise pressure upon the
sutured flap when the foot is finally bandaged. (2) The bandage should
be run on from the coronet downwards, in order to insure pressure being
exerted in the exact position over the sutured flap. (3) Bandages should
be used in abundance, commencing always from the coronet, and carefully
applied so as to exert an even and uniform pressure. (4) The bandages
should be of clean, unused linen.
[Footnote A: Bayer recommends that the tow be rolled into cylindrical
tampons, each long enough to cross the wound. These are placed on the wound
in alternate horizontal and vertical layers, so that when rolled round by a
bandage they are pressed into an even and compact pad.]
Once the bandages are adjusted, the hobbles may be removed, and the
tourniquet loosened. Directly the tourniquet is removed there is a steady
oozing of blood through the bandages, no matter how many we have put on.
This should occasion no alarm, as experience has taught that the careful
attention to antiseptic measures observed throughout the operation has the
effect of maintaining the lowermost dressings, those next to the wound, in
a state of asepsis. The bandaged foot should now be wrapped in a piece of
thick clean cloth or placed in a boot.
If our antiseptic precautions have been thorough, the dressings and
bandages so adjusted may be allowed to remain without disturbance for from
eight to fourteen days. In this, however, the veterinary surgeon must be
largely guided by the symptoms of his patient. If, at the end of the
first three o
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