632 
W. H. RIDGE. 
in a superior direction, and the little fingers anteriorly. After 
replacing about a hand’s breath we partly close the hand, using 
he knuckles; replacing between the straining of the animal, we 
find it best to use pressure on one side at a time, holding all we 
gain until the cervix has entered the pelvic cavity, when, by a 
quick move, withdraw one hand, and place it against the most 
distant part of the tumor, but outside of the cloth, your two as¬ 
sistants pulling forwards on the cloth ; by pushing the cloth in 
with the uterus you strengthen the mucous membrane, making 
less danger of rupturing or lacerating its surface, but often, after 
replacing the vagina and withdrawing the hand, the animal 
makes one desperate expulsive strain, when the whole uterus is 
thrown out again. We may have this to occui seveial times be¬ 
fore we succeed in returning it properly, but after trying a few 
times and not succeeding I would administer more chloral, or 
rather put them under the influence of chloroform, the disadvan¬ 
tages of anaesthetics are we have to have the animal in a recum¬ 
bent position. Washing the uterus off with a chloral solution, or 
ice water may assist us. If the straining still persists, and we 
cannot overcome the straining, then preform tracheotomy, to get 
rid of the pressure of the abdominal muscles. We need no tube 
for this purpose. If the uterus is very large owing to the large 
amount of blood contained in its blood-vessels, it is best to have 
the assistants cross the cloth, the one on the right side taking 
the ends of the cloth on the left side, making steady piessure, 
keeping the distal end the tightest; by this means diive as much 
of the blood into the body as possible. Or we may bathe the 
uterus in cold water and bandage with a wide elastic bandage, 
but we will not find one case in ten that will requiie the 
bandages. 
After you have returned the uterus, explore the uterine cavity 
the full length of your arm, to see that no part of the uterus has 
remained inverted, or tucked in upon itself, as the turning in of 
the end of a glove finger. 
You will see stated that we are to smooth out all wrinkles in 
the mucous membrane I think this of little consequence, as 
