EVERSION OF THE UTERUS 111 



tion of the mass is ni^dL'red fully fifty per cent easier. 



During the time that the cow is being urged to get 

 up, and when she is in the act of getting up, the uterus 

 must be protected from again becoming soiled. This 

 is best done by wrapping it entirely in the sheet or 

 rubber apron. When the standing position has been 

 attained have the cow moved in such a way that the 

 fore-quarters will be considerably lower than the hind. 

 This is not absolutely essential, but it helps to make 

 the replacement easier. 



With an attendant holding the tail out of the way 

 and another man supporting the mass in the sheet or 

 apron, the veterinarian begins the inversion by firmly 

 grasping around the portion closest to the vulva with 

 both hands and forcing it firmly, yet not roughly, into 

 the vulva. At the same time the attendant holding 

 the pendant portion of the mass should ''folio y up" 

 with it. AVhen the veterinarian has the portion in his 

 grasp forced into the vulva opening, he must not re- 

 lease his grip at once, but slowly, with a sort of ''feed- 

 ing in" motion, and all the time holding in place by 

 forward pressure what he has already replaced, he 

 grasps again with both hands. Sometimes, if the cow 

 strains severely, only one hand at a time is changed for 

 a new grasp. This is repeatedly gone through until 

 enough of the mass has been pushed in so that the 

 attendant finds he has nothing left to hold. The veter- 

 inarian now places the doubled fist of one hand in the 

 center of the mass still outside of the canal and by ap- 

 propriate pressure completes the aversion, following 

 in the full length of his arm and straightening out the 

 "kinks" as much as possible. The pushing, during the 

 entire process, must be done during the straining in- 

 tervals ; that is, while the cow is in the act of straining 

 the veterinarian holds his ground. Then, just at the 



