836 Veterinary Obstetrics 



of the cornii, until finally the entire horn and body have 

 been pushed in, and have thus become replaced in the order 

 of the original displacement. 



It is essential in this operation that great care be taken not to 

 lacerate or abrade the organ with the finger nails, push a pro- 

 jecting finger through the walls of the organ, or otherwise injure 

 it. Throughout the operation the prolapsed organ should be 

 kept soft and pliable b}' frequent irrigation with warm water or 

 saline solution. 



Some have suggested that, instead of returning the apex of the 

 gravid or everted horn first, the obstetrist should begin at that 

 part of the organ which is nearest the vulva, and by this means 

 press the uterus back through the vulvar opening. By this 

 method the assistants hold the organ in the same position as the 

 preceding, and the operator, acting upon the proximal portion of 

 the^prolapsed mass, presses his hands on either side of the tumor, 

 between it and the lips of the vulva, and thus acts first upon 

 the vagina, then upon the cervix and bod)' of the uterus, and 

 finally upon the everted cornu, until the replacement becomes 

 complete. 



A third method is that of Coquelet, although it apparently 

 does not merit the designation of being distinct from the two 

 preceding. It consists essentially of applying a pressure bandage 

 of a peculiar form until the organ is considerably reduced in size, 

 when one of the two preceding methods is applied for replacing 

 the mass. C takes a clean piece of cloth about one yard in 

 length and 28 to 30 inches in width, and passes this beneath the 

 prolapsed organ up close to the vulva. Its lower border is carried 

 up over the distal end of the organ, and the ends are then carried 

 up over the sides of the organ, until all are folded together on 

 top of the uterus, completely enveloping it. While tepid water 

 is kept constantly applied to the bandage, it is gradually tightened 

 by pressing upon the mass underneath and pulling the corners of 

 the bandage tighter and tighter until the desired amount of re- 

 duction has been brought about. The prolapsed organ is then 

 replaced by the method described above, or otherwise. Other 

 methods for reducing the size of the organ, due to some peculiar 

 way of applying a bandage, have been described. 



After the uterus has been returned through the vulva, it is 

 essential that the operation should immediately be continued 



