162 The Management and Diseases of the Dog. 
which had been in labour since the previous evening. It 
had given birth to a puppy twelve hours before, but no more 
could be expelled. When Saint-Cyr first saw the bitch, 
the labour-pains had ceased; by vaginal exploration he 
could scarcely touch the foot of the most advanced puppy 
—which was not in the pelvis—with his finger; while 
the volume of the abdomen led him to believe that there 
were more than one in the uterus. The general condition 
of the animal was good; so it was decided to try the . 
Cesarean section, incising the right flank, where the 
foetuses were most readily felt, by abdominal exploration. 
Three foetuses were removed from the right cornu by asingle 
incision; two of these were dead, but one was still alive. 
The operation being completed, the cornu was returned to 
the abdomen, but not sutured ; and the abdominal incision 
closed by interrupted suture, a bandage being placed round 
the body. After the operation the bitch was very weak ; 
it died in eighteen hours. The autopsy showed a moderate 
degree of metro-peritonitis. 
“Feser (‘Thierarztliche Mittheilungen der Munchener 
Schule,’ part iii., p. 296) operated on a bitch which could 
not pup, making the opening in the left flank, against which 
the uterus lay; three puppies were extracted—one from each 
horn and one from towards the os uteri, the latter being 
dead, and from a deviation of its head it constituted the ob- 
stacle to birth. The heads of the other two puppies were 
likewise deviated. The uterus and Fallopian tubes—every- 
thing behind the cervix uteri—were extirpated by the 
ecraseur. The uterine and ovarian arteries were ligatured. 
The incisions were closed by suture, and ice applied to the 
left side of the abdomen. The animal lost about three 
ounces of blood. An hour after the operation it had a 
shivering fit, but this soon passed off; though it recurred 
three times aday forsometime. In sixteen days the wound 
had healed and the bitch was quite recovered. The puppies 
were reared artificially. 
