PURULENT METRITIS. 
659 
that there was a sinus through the adhesion, although I was 
unable to find it. 
I at once decided to try and break down adhesion. After 
due preparation Avith antiseptics, I took an 8-inch seton 
needle, and passing right hand into vagina, with left hand 
passed needle, directing its course with right, and as care¬ 
fully as possible broke through the adhesion, which Avas about 
half inch in length. On withdrawing the needle, pus folloAved 
quickty ; forcing index finger into opening made with the 
needle, I enlarged the opening so that I passed the whole 
hand, when, on Avithdrawing my hand, an enormous quantity 
of pus followed. The mare began to strain violently, and 
Avith every strain forced pus from behind her, pus of a dark¬ 
ish cast and terribly offensive, driving my assistant and others 
out of the barn. 
As soon as the mare stopped straining, I again passed my 
hand into vagina; the broken adhesions left a jagged surface, 
which I dressed down Avith curved scissors. The os uteri 
and uterus I found more relaxed than any case I haA r e seen 
immediately after foaling. The mare now began to show 
signs of pain. I at once prepared an antiseptic and thorough¬ 
ly irrigated uterus, dressed the Avound that I had made by 
placing a pledget of antiseptic cotton in the vagina, gave the 
mare a stimulant, clothed her warmly, and turned her into a 
box stall, where she at once lay down, and I then had hot 
rugs applied to her loins. 
The next morning she could not rise, and refused to eat; 
temperature 104° F.; pulse 60. Gave stimulant of tr. mur. 
iron, quinine sulph., Avith antiseptic washing of uterus and 
dressing to Avound; also hot rugs continuously to loins. 
From second to sixth day no material change, only that she 
Avould occasionally eat a little Avith coaxing; nursed her as 
carefully as possible, and placed a careful man Avith her night 
and day. 
On the sixth day appeared much better, and with a little 
assistance got on her feet, but A f ery Aveak, and could with 
difficulty move her hind limbs. She now, for the first time, 
ate a mash and some hay and appeared bright. After a 
