566 OBSTETRIC OPERATIONS. 



incision was made, A foetus was extracted from the left cornu, and through the same 

 opening another was obtained. The hsemorrhage was unimportant. 



The ovaries wdre extirpated, and the uterus wound being left untouched, that in the 

 abdominal wall was sutured. 



The Sow was fattened and soon after killed. The right cornu was found to l>e 

 normal ; the left contained about a pint of pus at the part where the incision had been 

 made. 



47. Jensen [Ibid., 1869) relates an instance in which a Sow could not farrow ; the left 

 cornu of the uterus had been previously removed. He incised the right flank, opened 

 the right cornu, and extracted five foetuses — three of which were alive, and lived. The 

 foetal membranes were entirely removed, and the wound closed by interrupted suture. 

 The Sow recovered and became very fat. When killed there was a litre and a half of 

 pus in the uterus. 



48. This authority {Ibid., 1S73) had occasion to resort to the operation again in 1873. 

 The subject was a Sow — pregnant for the first time — which had already brought forth 

 three dead foetuses. Next day the abdomen was greatly distended, and fluid was dis- 

 charged from the opening. In the left cornu was found only one very large foetus, and 

 in removing it, the friable texture of this part was-torn. The abdominal wound was 

 closed by suture after the extraction. The Sow recovered and was fattened. When 

 killed, a well-marked cicatrix was observed in the left cornu with some tubercles 

 ( Tuberkel) around its margin ; the cornu was somewhat contracted at this part — else- 

 where it was normal. 



49. Adam, sen. (Miindliche Mittheilung) relates that a worthless Mare became acci- 

 dentally impregnated, and at the end of pregnancy could not foal, owing to a contracted 

 pelvis. The case being hopeless, the Mare was killed, the abdomen and uterus imme- 

 diately opened, and a living foal extracted ; this was kept alive for eight days. 



50. Adam, junr., was called to attend a pregnant Mare which could not expel the foal. 

 Attempts were made at extraction, but all failed. The animal was killed by a blow on 

 the head, and the abdomen and uterus being opened, and the membranes incised towards 

 the head of the foal, the latter was extracted. The entire operation did not occupy 

 more than ten minutes. The foal lived for eight days. 



CHAPTER V. 



Symphysiotomy. 



Symphysiotomy, as the name implies, consists in dividing the ischio- 

 pubic symphysis throughout ; so that, by allowing the bones to separate 

 somewhat in the pubic region, the pelvic cavity may be enlarged, and 

 the passage of the foetus through it rendered possible. But even in 

 woman, with every advantage and appliance, and after a most serious 

 mutilation, the separation procured between the bones is infinitesimal, 

 and therefore can have but little influence on the progress of the foetus. 

 And when we remember that in woman the mortality is more than 32 per 

 cent., while among those which survive many are permanently disabled, 

 and those which recover often require months before convalescence is 

 established, it will be understood that the operation can never, with our 

 present knowledge, be reckoned among those which the veterinary 

 obstetrist must practise. It may be sufficient to notice the fact that, in 

 animals, the symphysis pubis, as a rule, soon becomes ossified. The 

 operation does not appear to have been resorted to in veterinary obstet- 

 ricy, and it would require a bold operator to attempt it. 



