596 ACCIDEXTS AFTER PAETURITION. 



A very efficient and suitable truss is that made of a piece of stout 

 leather, with a round opening in it above, corresponding to the anus, 

 and an oblong opening beneath this, through which the vulva passes. 

 The leather is so shaped as to embrace and lie close to the root of the 

 tail and between the buttocks, extending for some distance below the 

 vulva, as in Fig. 217. It is maintained in position by four strong 

 leather straps — two above and two below — which pass on each side to 

 a surcingle around the chest, which may again be attached to a collar 

 or breast-strap, should the straining be violent. 



Another kind of truss is formed by an ordinary crupper attached to a 

 surcingle, and, if need be, this to a breast-strap or collar. From the 

 part of the crupper under the tail proceed, two, three, or four narrow 

 leather straps, which, passing over the vulva, are attached to the loop 



Fig. 217. 

 Leather Truss. 



of a doubled rope in the perinaeum, each portion of the rope being 

 passed between the hind-legs and tied to the lower part of the sur- 

 cingle. Or a cord may be attached to the crupper at each side of 



falling back on the arm — made bare for the purpose. I then applied the doubled fist to 

 the fundus of the uterus, with the assistance of the right hand in bearing it up by a 

 moderate degree of force, and returned it to its place, slowly withdrawing the hand, and 

 leaving the towel for a few minutes. I next proceeded to remove the towel, by intro- 

 ducing the hand, greased for the purpose, into the vagina, taking it by the corners, 

 turning it several times round, and at the same time bringintr it out slowly. After 

 which I introduced the arm to the full length, in order to ascertain whether it was in 

 its proper position, using a little force on the further end, in order to stretch it. I then 

 withdrew the arm, and proceeded to apply the uecessarj' bandages. First, a strong girth 

 or surcingle was buckled tightly round the abdomen, to prevent the muscles acting with 

 such force as again to expel the uterus. This is essentially necessary. I then took a 

 small rope, or narrow web (the one used on this occasion was a cavesson for breaking 

 horses in the menarje), forming an eye (loop) in the middle, to be passed over the neck, 

 as if for casting. I then passed the ends between the fore-legs and along the belly — one 

 on each side of the udder, up between the hind-legs — tying a single knot exactly at the 

 inferior part of the vulva. Another was placed superior to the anus, carrying the ends 

 up on each side the tail, fixing them securely and tightly to the loop round the neck, and 

 on each side of the withers."' This truss was a perfect success, and could be dispensed 

 with in three days. Horsburgh condemns sutures passed through the labia pudendi. 



