ould be at hand in an earthenware or
enamelled iron tray containing just sufficient of a 5 per cent. solution
of carbolic acid to keep them covered. Those that are necessary will be a
sharp scalpel, or, if preferred, one of the many forms of bistoury devised
for the purpose (see Fig. 59), a pair of artery forceps, a needle ready
threaded with silk or gut, one of the patterns of neurectomy needle (see
Fig. 60), and a pair of blunt-pointed scissors curved on the flat. It is
also an advantage, when once the incision through the skin is made, to
employ one of the forms of elastic, self-adjusting tenacula (see Fig. 61)
for keeping the edges of the wound apart while searching for the nerve.
[Illustration: FIG. 60. NEURECTOMY NEEDLE.]
_Incision through the Skin_.--We remember that the plantar nerve of the
inner side is in close relation with the internal metacarpal artery, and
that both, in company with the internal metacarpal vein, run down the limb
in close proximity with the inner border of the flexor tendons. Also, we
remember that the external plantar nerve has no attendant artery, although,
like its fellow, it is to be found in close touch with the edge of the
flexor tendons.
Bearing these landmarks in mind, we feel for the nerve in the hollow
just above the fetlock-joint by noting the pulsations of the artery, and
determining the edge of the flexor tendons. This done, a clean incision is
made with the bistoury or the scalpel in the direction of the vessels. The
incision should be made firmly and decisively, so that the skin may be
cleanly penetrated with one clear cut. If judiciously made, little else in
the shape of dissection will be needed.
[Illustration: FIG. 61.--DOUBLE TENACULUM.]
It is now that the double tenaculum (Fig. 61) is applied. One clip is fixed
to the anterior edge of the wound, and the other carried beneath the limb
and made to grasp the posterior edge. If found desirable to keep the
edges of the wound apart, and no tenaculum to hand, the same end may be
accomplished by means of a needle and silk. In like manner as is the
tenaculum, the silk is attached to one edge of the wound, carried under the
limb, and firmly secured to the other.
Having made the incision, the wound should be wiped free from blood by
means of a pledget of cotton-wool previously soaked in a carbolic acid
solution and squeezed dry. At the bottom of the wound will now be seen
the glistening white sheath, containing the vein
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