yoS Veterinary Obstetrics 



remain static, and consequent!}' the normal relationship shall be 

 restored by the patient's body revolving around the gravid uterus 

 in the same direction in which the latter had previously turned. 

 The operator remains in the position named, and assistants turn 

 the animal upon her right side, thence upon her back and over 

 onto her left side. Folding the feet beneath the patient's body, 

 she is rolled up on her chest, over onto her right side, and the 

 rolling continued as before. 



In discussing the cause of torsion, we suggested that the acci- 

 dent probably results from a very sudden slip or turn of the ani- 

 mal. In attempting to overcome the displacement of the organ, 

 it may be advisable to imitate those conditions which we assume 

 to have caused the displacement. Consequently, the rolling 

 process, at a critical point, should be more or less sudden, in the 

 hope that the body of the patient, by being moved quickly, does 

 not cause the gravid uterus to move with it, but leaves it stand- 

 ing still. To this end, then, when the rolling process is begun 

 it may be done rather quickly, in order, if possible, to bring about 

 the revolution of the body of the mother, without having the 

 gravid uterus follow its motion. 



3. Others favor a modified rolling process by causing a partial 

 revolution of the body of the mother with an attempt to turn the 

 gravid uterus in the opposite direction or to hold it from turning 

 with the maternal body by means of external force applied to the 

 fetus through the abdominal walls. The patient is turned .slowly 

 and gently upon her back, while the operator or an assistant 

 identifies the fetus by palpating the abdominal floor. If the 

 torsion is to the right, the operator pushes against the fetus from 

 the right to the left and attempts to cau.se the gravid organ to 

 revolve toward the left, or at least to aid materially in holding 

 and preventing it from rotating to the right as the body of the 

 patient is suddenly brought down on her left side. 



This plan of operating is based upon the assumption that, 

 when an animal suflfering from uterine torsion is slowly and care- 

 fully rolled over, the gravid uterus revolves to the same degree, 

 but that an abrupt roll of the maternal body may change the 

 relations of the gravid organ. This influence can be aided by 

 external manipulation. 



Assuming that the operation has been successful, when the cow 

 has been turned completely to her left side the ropes are removed 



