422 



DISEASES OF THE GENITAL OBGANS, 



In mares and cows affected by ovarian cysts, their crushing has 

 been recommended with the hand through the rectal walls (Zangger, 

 Utz, etc.). Utz claims to have cured 90 per cent, of his patients in 

 that way. After castration or crushing of the cysts, anxiety or ex- 

 citement may continue if there is any uterine trouille (tuberculosis 

 of the uterus, etc.). Then we ought to decide as quickly as possible 

 as to sacrificing such animals as are in a sufficiently healthy condi- 

 tion to permit the consumption of the meat. For the cow we must 

 not wait too long to see the effects of the different treatments which 

 have just been indicated. We cannot rely upon the effects of internal 

 medication. 



[Operative interference in mares affected with nymphomania 

 requires very serious consideration when it is a question of ovari- 

 otomy. This is due to the fact that the danger from peritonitis is 

 very great, so that few practitioners are willing to recommend it, 

 and few owners will assume the risk of operation, preferring to sell 

 the animals for something rather than lose the whole value of the 

 beast. Before undertaking such a serious operation, I would advise 

 having recourse to extirpation of the clitoris, which may be removed 

 with the knife, scissors, or thermo-cautery. My operations have 

 always been done with the knife, but Dr. Hollingsworth reports a 

 case with the thermo-cautery as very satisfactory. The patient 

 should be cast, the parts thoroughly cleansed and cocainized by 

 subcutaneous injection, and a classical operation performed. The 

 operative procedure is simple, the dangers almost nil, and the results 

 in the majority of cases are very satisfactory. The small percent- 

 age of cases which do not yield to this treatment may, if thought 

 advisable, be treated by oophorectomy, but many of them after re- 

 covery from the operation will still be found to have nymphomania. 

 — w. L. z.] 



disinfected with sublimate solution of 1 : 1000. The operator's hands and arms should 

 be washed with soap and water, then dipped in the sublimate solution. We use but 

 two instruments — a bistourj with a hidden blade and an écraseur; they are to be 

 immersed in an antiseptic solution With the bistoury we make upon the upper 

 part of the vagina, above the os, a simple puncture. When the instrument is with- 

 drawn and the arm introduced again into the vagina, we put the index finger into 

 the wound, then successively the middle finger and the thumb, and, spreading the 

 fingers as much as possible according to the vaginal axis, we tear the wall of this 

 organ, till the hand can penetrate into the abdominal cavity. We then practise abla- 

 tion of the ovaries, which is very easy to perform with the help of Chassaignac's long 

 écraseur. The only subsequent care consists in antiseptic washings of the vulva and 

 of the posterior part of the vagina, when this is possible. — n. d. t. 



