iM'h'JiSKKV of Tilt: r.iinxA. tior 



must be removed, as their presence is certain to cause expulsive efforts 

 which will inevitably lead to protrusion of the vagina again. 



For retention of the reduced part, sutures are often preferred : they 

 are passed through the labia of the vulva. Harms and Schleg' employ 

 ritKjclns with this object. Schleg's ring is a thin flat band of steel, 

 pointed at one end, and with a round hole and slot a little above the 

 point ; at the other end is a kind of button raised on the surface. The 

 point is passed through the labia, and the band bent round so as to 

 meet and button at the ends. This ring has been worn, according to 

 Schleg. from a few days to more than live months. Other sutures have 

 been described ; but they are all on the same principle as Zundel's 

 already mentioned (I'Mg. 213). 



In some cases one of the trusses alluded to for inversion of the uterus 

 may be found useful, especially if the accident is recent. Pessaries 

 should not be employed. 



When the submucous connective tissue of the vagina has been nmcli 

 lacerated, and abnormal adhesions have taken place, then a recurrence 

 of the inversion is to be apprehended. This recurrence is, of course, 

 most likely to take place in chronic inversion, and all the skill and 

 patience of the veterinary surgeon will be required in dealing with such 

 a case. At times the accident has proved so troublesome, and retention 

 has so batiled every attempt after reduction was effected, that amputa- 

 tion of the protruded portion has been practised, and with success. 



Rainard appears to have been the first to venture on this bold measure, 

 and he practised the operation several times on Bitches. He ligatured 

 the entire inverted mass close to the vulva, in one case ; but as this 

 gave rise to intense fever, and, when cured, the animal suffered from 

 incontinence of lU'ine, he adopted another procedure. Instead of 

 including the whole of the tumour in one ligature, he divided the pedicle 

 into three portions, which he tied separately, so that each ligature only 

 enclosed one-third of the mass. After tightening the ligatures, the 

 Bitch was allowed to run at large, the only attention it received being 

 the injection of emollient Huids into the vagina, and a smaller allowance 

 of food. The pain was much less in intensity and duration than in the 

 first case, and the tumour came away in five or six days, when recovery 

 took place. Kainard. however, advises immediate excision of the 

 portion of the mass beyond the ligatures, when these have been drawn 

 tight. 



Daprey operated on a two-year-old Filly in a somewhat different 

 manner. Inversion of the vagina had been present for fifteen days, and 

 the tumour was as large as a man's head ; it was cold, of a dark-brown 

 colour, and the animal was greatly agitated and fevcrisli. As gangrene 

 was apprehended, it was decided to remove the whole mass. This was 

 done by practising a kind of saddler's stitch around it, by means of two 

 needles armed with a waxed thread ; and when sewn round, the two 

 ends of the ligature were drawn so tight as to raise the enclosed sides 

 of the tumour into plaits like the mouth of a tied sack ; they were then 

 firmly joined. The Filly was kept standing with the hinder part of the 

 body raised, and the tumour was dressed with chlorinated water and 

 vinegar. Between the seventh and eighth days the mass came awav ; 

 the discharge diminished in quantity and fcetidness, and on the tenth 

 day the animal was nearly well. 



Bernard, of the Toulouse Veterinary School, operated upon a female 

 ' Magaziii/iir Thierheiihunde unci Viehzucht, 1869, p. 13. 



