DISEASES OF THE GENERATIVE ORGANS. 227 



one bind limb and the hip bone on the same side may be removed as 

 described under Amputation of the Hind Limbs. This will allow the 

 introduction of the hand into the abdomen from behind, so as to pull out 

 the contents. By introducing an embryotomy knife in the palm of the 

 hand and cutting through the muscle of the diaphragm the interior of 

 the chest can be reached in the same way and the heart and lungs 

 removed. 



When, in dealing with an anterior presentation, it becomes necessary 

 to remove the contents of the chest, the usual course is to cut through 

 the connections of the ribs with the breastbone (the costal cartilages) 

 close to the breastbone on each side, and from the abdomen forward to 

 the neck. Then cut through the muscles connecting the front of the 

 breastbone with the neck, and its hinder end with the belly, and pull 

 out the entire breastbone. Having torn out the heart and lungs with 

 tin- hand, make the rib cartilages on the one side overlap those on the 

 other, so as to lessen the thickness of the chest, and proceed to extract 

 the body. If it seems needful to empty the abdomen as well, it is easy 

 to reach it by cutting through the diaphragm, which separates it from 

 the chest. 



DELIVERY THROUGH THE FLANK CESAKEAN SECTION LAP A- 



EOTOMT. 



This is sometimes demanded, when the distortion and narrowing of the 

 hip bones are such as to forbid the passage of the calf, or when inflam- 

 mation has practically closed the natural passages and the progeny is 

 more valuable and worthy of being saved than the dam; also in cases 

 in which the cow has been fatally injured, or is ill beyond possibility of 

 recovery and yet carries a living calf. It is too often a last resort after 

 long and fruitless efforts to deliver by the natural channels, and in such 

 cases the saving of the calf is all that can be expected, the exhausted 

 cow, already the subject of active inflammation, and too often also of 

 putrid poisoning, is virtually beyond hope. The hope of saving the 

 dam is greatest if she is in good health and not fatigued, in cases, for 

 example, in which the operation is resorted to on account of broken hip 

 bones or abnormally narrow passages. 



The stork-owner will not attempt such a serious operation as this. 

 Yet, where the mother has just died or is to be immediately sacrificed, no 

 one should hesitate at resorting to it in order to save the calf. If alive 

 it is important to have the cow perfectly still. Her left fore leg being 

 bent at the knee by one person, another may so.ize the loft horn and nose 

 and turn the head to the right until the nose rests on the spine just 

 above the shoulder. The cow will sink down gently on her left side 

 without shock or struggle. One may now hold the head firmly to the 

 ground, while a second, carrying the end of the tail from behind for- 

 ward on the insi<! of the right thigh, pulls upon it so as to keep the 

 right hind limb veil raised from the ground. If time presses she may 



