Accidents and Operations. : 403° 
injury close to the mouth of the uterus, and for which 1} 
' gave instructions as to treatment. Stone at this time was 
not suspected. After this I did not see her again until 
April, 1881, when her owner informed me she had visited 
the dog, and I examined her as to pregnancy. Careful 
abdominal manipulation, whilst the bitch was on her back, 
revealed a movable substance, but of its nature there was 
some doubt. On Saturday morning, June 26th, the day of 
the operation, the patient was again brought to me. She 
was this time continually straining and passing blood and 
urine in small quantities. Placing her upon her back, I 
found the enlargement previously felt had considerably 
increased in size, and, on grasping it, crepitus was both felt 
and heard. I then diagnosed the case as one of cystic 
calculi, though strong adverse opinions were expressed by 
other professionals. As the poor creature was in evident 
and acute pain, at the wish of the owner, and in accordance 
with my own feelings about the case, I at once operated 
by the czsarian method ; and, although it was scarcely 
possible a successful issue could result therefrom, especially 
in her obese condition, yet I felt it was justifiable when 
such a valuable life was in the balance, as it resolved itself 
into a question of relief by the only method in canine 
surgery possible, or otherwise letting her linger on in agony, 
I advocated a preparation for the ordeal, but as the owner 
was leaving home for a fortnight, and the patient would 
not have lived until his return, I had no alternative but to 
perform the operation. As it was impossible to dilate 
the urethra sufficiently, and vagino vesical lithotomy was 
out of the question, I decided upon the czsarian section. 
A quantity of fat omentum had to be removed to expose 
the bladder. The largest stone was discovered fixed in 
its neck, and when released by incision, all the others 
followed. Many besides those collected were lost in the 
straw upon which she lay. The incised bladder was care- _ 
fully united with carbolised cat-gut, and the external — 
