Diseases of the Generative Organs. 133 
Treatment.—After the return, by pressure, of the inver- 
sion, which should be first thoroughly cleansed, the treat- 
ment consists in the frequent application of cold water to 
the parts, the injection of mild astringents (alum-water 
being the best), and the administration of agents that will 
give tone to the system, as the preparations of iron and 
bark. Where retention is difficult, a truss may be 
employed, or labial sutures; but in the bitch the latter 
are not advisable. Lacerations* require strict attention, 
otherwise adhesions are liable to take place, and a per- 
Manent inversion be the result. The diet should be plain, 
unstimulating, and nutritious ; moderate exercise daily is 
beneficial, as the protrusion is not so liable to take place 
in the standing posture and during locomotion, as in the 
recumbent position. Constipation, or any of the causes 
which produce straining, must be avoided. 
* When the submucous connective tissue of the vagina has been 
much lacerated, and abnormal adhesions have taken place, then a re- 
currence 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 acase. At times the accident has proved so troublesome, and 
retention has so baffled every attempt after reduction was effected, that 
amputation of the protruded portion has been practised, and wit’ 
success. 
Rainard appears to have been the first to venture on this bola 
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 urine, 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 liga. 
ture 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 fluids into the vagina, and a smaitler 
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. Rainard, however, advises immediate 
excision of the portion of the mass beyond the ligatures, when these 
have been drawn tight.—Fleming’s “ Veterinary Obstetrics,” p. 603. 
A case is recorded of the Author’s in the Veterznary Journal. May. 
1884. Also see ‘‘ Vaginotomy,” Chapter xviii. 
