INVERSION OF THE UTERUS. 



6oi 



position, using a little force on the further end, in order to stretch it. I then withdrew 

 the arm, and proceeded to apply the necessary bandages. First, a strong girt, or sur- 

 cingle was buckled tightly round the abdomen, to prevent the muscles acting with such 

 force as again to expel the uterus. This is essentially necessary. I then took a small 

 rope, or narrow web (the one used on this occasion was a cavesson for breaking horses 

 in the menage), forming an eye (loop) in the middle, to be passed over the neck, as if for 

 casting. I then passed the ends between the fore-legs and along the belly — one on each 

 side of the udder, up between the hind legs — tying a single knot exactly at the inferior 

 part of the vulva. Another was placed superior to the anus, carrying the ends up on 

 each side the tail, fixing them securely and tightly to the loop round the neck, and on 

 each side of the withers." This truss was a perfect success, and could be dispensed 

 with in three days. Horsburgh condemns sutures passed through the labia pudendi. 



A very efficient and suitable truss is that made of a piece of stout 

 leatlier, with a round opening in it above, corresponding to the anus, and 

 an oblong opening beneath this, through which the vulva passes. The 



Fig. 203. 

 Leather Truss. 



leather is so shaped as to embrace and lie close to the root of the tail and 

 between the buttocks, extending for some distance below the \»ulva, as in 

 figure 203. It is maintained in position by four strong leather straps — 

 two above and two below — which pass on each side to a surcingle around 

 the chest, which may again be attached to a collar or breast-strap, should 

 the straining be violent. 



Anoiher kind of truss is formed by an ordinary crupper attached to a 

 surcingle, and, if need be, this to a breast-strap or collar. From the part 

 of the crupper under the tail proceeds two, three, or four narrow leather 

 straps, which, passing over the vulva, are attached to the loop of a 

 doubled rope in the perinaeum, each portion of the rope being passed 

 between the hind-legs and tied to the lower part of the surcingle. Or a 

 cord may be attached to the crupper at each side of the vulva, and 

 carried forward between the hind-legs and underneath the belly in the 

 same manner, two or three transverse narrow straps passing between the 

 two, immediately over the vulvar opening. 



When there is much swelling, a soft cloth doubled several times, or a 

 sponge steeped in cold water, may be placed over the vulva beneath the 

 straps, though in such a way as not to interfere with micturition or 

 defecation. 



