634 
W. H. RIDGE. 
It is very seldom that a pessary need be left in longer than three 
days, or it can be taken out the next day, ii there is no stiaining. 
The next treatment is the sutures. We want strong sutures: 
heavy muslin one inch wide makes good sutures, 01 bettei, tape 
one inch wide. The frog seton needle is the proper instrument 
to put in the sutures with. 1 he tape should be a little ovei a 
yard long, and be sure that there are no weak places in it. Now 
thread your needle, pick up the skin over the point of the right 
schinue opposite the superior third of the vulva, pass the needle 
through, taking about one inch of the skin, pull the thread fiom 
the needle, then withdraw the needle, and pull through the 
suture, thread again and pass through the lips of the vulva, in 
the superior third, in the same manner as was done through the 
skin, then pass through the skin over the left ischium, then pass . 
the suture over to the right side again without sutuiing the 
vulva, then pass the suture through the same amount of skin 
over the ischinue opposite the inferior third of the vulva, then 
pass through both lips of the vulva in the inferior third, then 
through the two ends of the sutures across the vulva and tie in 
a secure knot. This will stand all the straining the animal is 
pleased to give it. Wash the genital parts with a disinfectant 
solution, these sutures can be left in for any reasonable time. I 
have had them in one week many times, and I have never had 
them to tear out or any complication, except once, where the 
suture broke, not being strong enough, and had to be replaced 
with a stronger one. 
If we have a frog seton needle this is the easiest, quickest 
and best way we can retain the uterus. I have had animals to 
strain until I could see the uterus pressing between the sutures, 
but the next day be all right. 
Therapeutic .—A few doses of canabis indica often stops the 
straining. Opium is apt to cause a constipation and prolong re¬ 
covery. But chloroform and ether are useful at times. As a 
preventative measure, I think chloral or a mixtuie of ethei cam¬ 
phor canabis indica are good, also chlorodyne has been ci edited 
with doing good; of course one should guard against the bowels 
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