ing supplied by another and
adventitious branch, or a branch that, as regards its direction, is
abnormally distributed. As a last consideration, we may say that the higher
operation is the easier to perform.
Percival, in his works on lameness, has some very sage remarks to make by
way of a preliminary, and we cannot do better than quote them here. He
says:
'To command success in neurectomy three considerations demand attention:
'1. The subject must be fit and proper; in particular, the disease for
which neurectomy is performed should be suitable in kind, seat, stage, etc.
'2. The operation must be skilfully and effectually performed.
'3. The use that is made of the patient afterwards should not exceed what
his altered condition appears to have fitted him for.
'The veterinarian who is guided by considerations such as those will find
that he has restored to work horses who would otherwise have been utterly
useless. A plain and safe argument wherewith to meet the objections to
neurectomy is simply to ask the question what the animal is worth, or to
what useful purpose he can be put, that happens to be the subject of such
an operation.
'If the horse can be shown to be still serviceable and valuable, then he is
not a legitimate subject for the operation. The rule of procedure I have
laid down is to operate on no other but the _incurably lame horse_; and
whenever this has been attended to, not only has success been the more
brilliant, but indemnification from blame or reproach has been assured.'
_Preparation of the Subject_.--But little in the way of medicinal
preparation is necessary. When the animal is a gross, heavy feeder, and
carries a more than ordinary amount of cupboard, all that is needed is to
withhold his usual allowance of food for some time prior to the operation,
simply to avoid risk of rupture when casting. If considered advisable, a
dose of physic may also be administered.
To the seat of operation, however, careful attention should be given. On
the day previous to the operation the hair should be closely removed with
the clipping machines, and the skin thoroughly cleansed with warm water
and soap. After this, a bandage soaked in a 4 per cent, watery solution
of carbolic acid should be wrapped lightly round the limb, and allowed to
remain in position until the animal is cast and ready for the operation the
following morning. On removing the bandage prior to operating, the part
should again be
|