INVERSION AND RUPTURE OF THE UTERUS. 
395 
I have, as you see, now exceeded the limits of my sheet; but I 
hope you will excuse me, as I wish to shew the practicability of 
the operation, by sending the result of the cases in which I have 
been engaged. Two of my patients died, the others were saved, 
although it is sufficiently plain that they also must have been lost 
had no assistance been rendered. 
I have known some of our country cow-doctors try the opera¬ 
tion, and have heard of cows dying under their hands from exces¬ 
sive loss of blood. In nil the cases in which I have operated, 
I have had little hemorrhage. I always make two incisions 
through the os uteri, one on each side, thereby avoiding the risk of 
wounding the bladder, which is often found distended. 
I should be glad to see, if possible, these remarks in the next 
number of The VETERINARIAN, this being the time when parturi¬ 
tion among cows is frequent; and some practitioner may have an 
opportunity of putting my operation to the test. 
INVERSION AND RUPTURE OF THE UTERUS OF A 
COW, WITH PROTRUSION OF THE SMALL 
INTESTINES. 
Bi/ Mr. H. Higginson, V.S., Audlem. 
On the 5th of April last, 1840, at 11 P.M., I was sent for in 
great haste to see a cow that had calved about six o’clock on the 
same evening. On my arrival, I found that the whole of the uterus 
had protruded through the vulva, and the fundus of that viscus 
was so lacerated as to admit a large portion of the small intestine 
through the rent. 
It appeared that a farmer in the neighbourhood who was consi¬ 
dered expert at “ putting up cows’ reeds” had been sent for, and, 
having failed in this instance to accomplish his task (owing, I was 
told, to the cow straining violently), he gave up the case, and left 
her in the pitiable state in which I found her. 
I, however, procured plenty of assistants, and we raised her 
hinder parts, and bedded them well up, and, after having cleaned 
the protruded parts with some weak spirit and water, I proceeded 
to return these frightful herniae, which I effected without much 
difficulty, and a truss was applied to prevent their return. 
I then examined the state of her pulse, which beat 95 per 
minute, and was very feeble, for she had lost several quarts of 
blood, when the placenta was detached from the uterus. I admi¬ 
nistered magnes. sulph. ^viij, ol. ricini ^vi, tinct. opii et sp. mth. 
