PREVENTION, SYMPTOMS AND TREATMENT 2 \X 



of the udder. There is no parallel treatment for any other disease 

 in veterinary or human medicine. 



Prolapse of the Rectum, Uterus and Vagina. 



Prolapse of the Rectum. — This is more often seen in cattle, 

 young pigs and dogs — rarely in horses. In the slighter degrees of 

 prolapse, and when the bowel has not been severely injured, it may 

 be returned after applying cold water or fluidextract of hamamelis, 

 or other astringent, in water. The parts should be well greased 

 with vaseline and gradually pushed back. If the hind quarters are 

 raised and a gag is placed in the mouth, to prevent holding the 

 breath and expulsive efforts, the operation may be facilitated. 

 If reduction is impossible and only the mucous coat is prolapsed, 

 the actual cautery may be applied in radiating lines to the prolapse 

 and then return accomplished by burning through the sphincter at 

 two points. This results in contraction in healing and prevents re- 

 currence. So in prolapse of all the coats of the bowel, the bowel 

 should be returned if possible and the actual cautery may be ap- 

 plied in lines parallel to the long axis of the bowel — and just within 

 the anus — to produce contraction of the gut at this point and there- 

 fore to retard recurrence. The application of a pad and pressure 

 over the anus, the administration of opium and restriction of food 

 after the operation, aid recovery. These measures are more appli- 

 cable for dogs, as general anesthesia and stretching of the sphincter 

 are essential. 



In severe prolapse of great size, and in prolapse in which the 

 integrity of the bowel has suffered, one must empty the lower bowel 

 by enema and push back any of the small intestine which may have 

 come down. Amputation of the prolapsed lower bowel is now 

 indicated. The bowel is amputated just outside the anus, but first, 

 to prevent the proximal segment from slipping back in the belly as 

 soon as amputation is done, one must tack the two layers of bowel 

 together with sutures at two or three points in its circumference 

 and just above the point selected for amputation. The cut ends of 



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