218 DISEASES OF THE URINARY AND SEXUAL APPARATUS 



do. Ergot or caffein are used with some success where there is great 

 weakness of the heart. 



I^. Camphor pulv., 0.2 



Gummi acacia, 0.6 



F. chart. No. xii., 

 S. — One powder every two hours. 



Prolapse of the Uterus. Prolapsus Uteri. — This condition is ex- 

 tremely rare and occurs only during or immediately after delivery. From 

 very severe traction during labor or awkward assistance, particularly of 

 the last foetus, the horn of the uterus everts, passes beyond the os uteri 

 and vagina (invertio uteri without prolapse, incomplete prolapse of the 

 uterus) or passes entirely beyond the vulva and generally carries also a 

 portion of the uterus with it. It protrudes out of the vulva in the form of 

 a tumor-like mass, the mucous membrane being tumefied and livid 

 in color. The membrane may be excoriated in places and in ex- 

 treme cases gangrenous. 



Treatment. — This is practically the same as prolapse of the vulva or 

 rectum. The protruded portion is carefully bathed with mild antiseptic 

 solutions such as boracic acid and endeavor to return it to its normal 

 position by even pressure of the fingers; if this succeeds, place the 

 animal so that the hind quarters will be slightly elevated, inject a solution 

 of boracic acid into the uterus, and followed by a hypodermic injection of 

 morphia which tends to overcome straining on the part of the animal. If 

 the prolapse recurs it may be reduced and a sponge or oakum tampon 

 inserted into the vagina and the orifice closed with sutures (see page. 213). 

 If the uterus persists in resisting the above mentioned treatment, the 

 animal should be etherized, the abdomen opened on the median line, and 

 the uterus or Fallopian tube drawn down to the opening and tied to the 

 abdominal opening by means of sutures, taking care not to include the 

 mucous coat of the intestines in the stitch. If gangrene has set in, the 

 exposed uterus must be amputated. The exposed portion of the uterus 

 is drawn out, ligatured with strong silk thread, and the dependent portion 

 cut off just below the suture; care must be taken not to include the 

 bladder or the urethra, and the stump pushed back into the pelvic cavity; 

 some operators advise an elastic ligature. Cutting off the prolapsed, por- 

 tion by means of an ecrasour is not to be advised. 



Neoformations of the Uterus. — Fibromas are found most frequently in 

 the uterus and sometimes reach to a considerable size. Cyst sarcoma and 

 carcinoma are also seen; the latter are generally found in the form of soft, 

 loosely organized masses, filling up the entire lumen of the uterus, occasion- 

 ally involving the adjacent organs (the intestines and bladder) . The only 

 radical means of treatment is to extirpate the entire uterus. The sub- 



