94 
H. P. KEELY. 
Being bloodless, the operation is very easy and can be carried 
ont perfectly by any one acquainted with the details and in loca¬ 
tion can be more readily kept aseptic than can the operation 
wound after the removal of the clitoris, though either is not im¬ 
portant from the standpoint of infection. It is not intended to 
suggest that caudal myotomy can properly replace spaying in 
cases where the latter is indicated. 
EVERSION OF THE UTERUS IN COWS. 
By H. P. Keely, V. M. D., Schwenksville, Pa. 
A Paper read before the Pennsylvania State V. M. Association, March 9, 1898. 
In this paper I do not propose to bring before you anything 
new or startling, merely to review the causes, symptoms and 
treatment and to tell you what, in my experience, has given 
good results, knowing that if this paper is discussed I shall learn 
more than I am able to teach you. 
Definition .—Eversion of the uterus may be defined as the 
turning inside out of the organ, a kind of hernia through the 
os uteri. It may be termed partial if it does not protnde beyond 
the vulva, complete if it goes beyond the vulva to the exterior 
of the body, when it usually forms a large, longish tumor hang¬ 
ing down sometimes as low as the hocks and showing on its sur¬ 
face the cotyledons, and is usually then accompanied with pro¬ 
lapsus of the floor of the vagina. 
Symptoms .—These are unmistakable. You find a large^ 
longish-shaped tumor coming from between the lips of the vulva. 
On the surface yon will find the cotyledons, and the presence of 
these makes the diagnosis complete.’ The floor of the vagina^ 
when prolapsed, is smooth on its surface and forms more nearly 
a round or globular tumor and does not hang down as low. 
The inverted bladder can be recognized by finding the openings 
of the ureters and by having the base of the tumor much con¬ 
stricted and issuing from the opening of the urethra. The bag 
of waters before calving and the foetal envelopes after calving 
are not easily mistaken, although I have known it to happen 
