494 
CASES OF FRACTURES, &C. 
and with a gradual and due amount of pressure I find that, with 
an assistant manipulating at the sides, the viscus gradually recedes 
within the body ; not with the ease which some who never ope- 
rated may suppose, but with far less force and trouble than when 
the passage is filled up with the operator’s arm, the space being 
too limited even with so diminutive a substance in it as the 
small rod of iron I have described. All who have attended such 
cases will, I think, see that this instrument, in the hands of those 
qualified to discriminate between its use and abuse, must often- 
times succeed when the arm would fail ; and let those who feel 
disposed to try it blame me if they do not, in most cases, find it a 
valuable assistant. 
I have four different-sized bulbs. I find the largest the best, 
providing it can be got into the passage. The one already de- 
scribed is the size generally required for the mare and the cow. I 
may further state, that I have two rods, one several inches longer 
than that in the sketch, it being requisite to use two when the in- 
version has gone to an extent to include each uterine cornu in the 
general descent. After replacing the uterus, and allowing a little 
time for it to adjust itself, I gently withdraw the instrument; but 
not until I have put in the necessary sutures, in order for tighten- 
ing. Those I find to answer best are made of strong tape, and in- 
serted in the thick skin, about the tuberosity of the ischium, instead 
of wires through the labia pudenda. Since adopting this situation 
for the sutures I have had no difficulty in keeping the viscus within 
the body. 
Trusting this account will be understood by all interested in 
these matters, 
I am, dear Sir, 
Your’s respectfully. 
August 14, 1850. 
CASES OF FRACTURES, TENOTOMY, AND 
PUERPERAL FEVER. 
By P. Leach, M.R.C.V S., Southmotton. 
Case I. 
Fracture of both Ossa Suffraginis of the Fore Legs of a Horse. 
On Tuesday, July 23d, about eleven o’clock'p.M., my immediate 
attendance was required to see a horse belonging to a posting 
establishment of this town, which had suddenly dropped on his 
return from Tiverton, and which was now lying about seven miles 
