Eversion of the Vagina 853 



cervical canal should be dilated, and the uterus irrigated with 

 antiseptics. 



Hess recommends in these cases in the cow that we search for 

 and press out any persistent yellow bodies from the ovaries, and 

 then apply massage per rectum to the uterus . By this method 

 he reports excellent results. 



In other instances the prolapse is directly referable to some 

 irritation in the walls of the vagina, and, before one may reasona- 

 bly hope to overcome the straining and recurrence of the prolapse 

 the irritation must be removed. On page 267 we have related 

 a case of vaginal prolapse due to vaginal adhesions which could 

 not be mechanically controlled but was cured by chloral narcosis. 



All the various means that have been advised for preventing 

 recurrence of uterine prolapse have alike been suggested for that 

 of the vagina. The pessary is ineffectual, constantly irritates 

 the organ, and tends to increase rather than decrease the straining. 



Many veterinarians recommend vulvar sutures as already de- 

 scribed for prolapse of the uterus. 



It is inadvisable to apply sutures until after the cause of the 

 prolapse has been removed, since such a closure of the vulva can 

 only result in harm in those instances where ovarian, intra- 

 uterine or intra-vaginal disease is the cause. 



The application of the bandage, such as advised for prolapse of 

 the uterus, has a very low efficiency in prolapse of the vagina, 

 because the organ can readily be pushed out beneath the bandage 

 whenever severe straining occurs. 



Whatever value any retention apparatus may possess, it is 

 more important to overcome the cause of the prolapse than it is 

 to force the organ back in its position and hold it there by 

 mechanical means. If infection is the cause, and it usually is, 

 then disinfection must constitute the basis of handling, and 

 should be applied with that thoroughness which will secure 

 efficiency. The alum solution so strongly recommended by de 

 Bruin and others is commendable, because it has high value as 

 an antiseptic, is very astringent, and induces but little irritation. 



Iodoform is a valuable remedy in such cases, because it 

 possesses high efficiency as a disinfectant, along with a distinct 

 local anaesthetic effect. Where the straining is very violent, 

 because of great irritation in the vagina, it may be temporarily 



