1^6 THlJf NATURH AND TREATMENT OF 



Sometimes the presence of the bulbous instrument in the 

 uterus, after reduction, tends to keep up the after pains or 

 expulsive action, and if so it must be removed, previous to 

 which however, some stout tape should be sent through the 

 thick skin in the region of the prominences found on each side 

 of the vaginal outlet, known as the tuberosity of -the ischium; 

 this is a much better plan than that of stitching the vaginal lips. 

 After removing the instrument, a pad may be placed on the 

 lips of the vagina, then tie the tape sutures moderately tight ; 

 two sutures will answer, and they can be allowed to remain 

 until all danger of re-inversion has passed. The animal 

 should be placed in a situation where the hind parts can 

 be elevated a few inches. 



The following cases appear interesting enough to obtain a 

 space in this work and I recommend them to the reader's 

 perusal, they occurred in the practice of Surgeon Young- 

 husband : — 



"On the morning of the 3d of January, 1850, I was sent for 

 in great haste to a cow that three .days before had calved, and 

 apparently up to this time had done well ; but on that morning; 

 on the cow-keeper attending as usual, he found the cow down, 

 and the whole of the uterus protruding through the vagina. On 

 my arrival I found her as described, with the uterus in a most 

 loathsome state, from being suffered to remain unprotected 

 among the dung and urine of the cow-house, and also the 

 placental membranes adherent. Plenty of assistance being at 

 hand, we had her up, well raised her hind parts, and in that 

 position secured her, so that she could not well slip down again. 

 Having carefully detached the placenta, I next proceeded to 

 cleanse the parts by washing them with a mixture of weak 

 spirit and water. Having accomplished this, I proceeded to 

 return the part ; but on minutely examining that viscus, before 

 attempting its replacement I discovered in it a large rent, 

 through which I easily introduced my hand, and for the better 

 satisfaction of the owner, I caused one of the bystanders to do 

 the same, to show them that it was not through any mismanage- 

 ment of mine that this untoward accident had taken place; for 



