PROLAPSUS OF THE UTERUS 319 



the pains should be used to advance the hand and perform 

 reposition. Others recommend chloral hydrate per os (Proger) 

 or a whiskey narcotic. 



Some practitioners perform reposition in a different 

 manner. They grasp with both hands that part of the pro- 

 lapsus next to the vulva, pushing it in, while assistants manipu- 

 late the remaining portion of the prolapsus similarly. 



This method may be combined with the first one. After 

 that portion close to the vulva has been returned, the fist is 

 placed against the basis of the prolapsus, reducing the whole 

 mass (Goring). 



Coculet proposes a method to decrease materially the 

 dimensions of the prolapsus previous to reposition, so that it is 

 reduced with but little effort. After cleansing the uterus, it is 

 wrapped in a piece of linen 1 m. long and 70 cm. wide. The 

 uterus is now continually irrigated with warm water, drawing 

 it tighter from minute to minute, thus diminishing its volume 

 constantly. Exposition is readily effected after fifteen to 

 twenty minutes. 



This method, combined with the alum treatment, is to be 

 recommended, as it saves a lot of work and decreases danger. 



After treatment — Reposition must be complete ; that is, 

 care should be taken not to overlook partial inversions here 

 and there, which induce straining and possibly a new prolapsus. 



To prevent this the cow ought to be made to rise immedi- 

 ately after reposition. The hand is introduced into the uterus 

 to smooth down any remaining wrinkles, which, as a rule, have 

 disappeared by themselves. It is also well to walk the cow, as 

 exercise is the best means to encourage complete reposition 

 and to prevent straining. 



When the cow is unable to rise, the hind parts should be 

 raised and the hand remain in the uterus for ten to fifteen 

 minutes. As long as the uterus is not completely descended 

 into the abdominal cavity and it pushes continually against the 

 hand, something is wrong. In those cases the hind parts are 

 to be raised more yet, or she is to be made to stand, according 

 to Johne's method (1. a). Some recommend to fill the uterus 



