EVERSION OF THE UTERUS IN COWS. 
99 
have a pad about the size of two fists, then tie securely with a 
string in the groove you have cut and it is ready for use. Before 
inserting it I always dip the pad in melted lard. Then insert it 
into the vagina as far as may be necessary. Now, to hold it in 
place, take a rope and knot the middle of it to the handle. 
Take an end up on each side of the tail, on the croup make a 
single loose knot, go forward along the back to the withers, 
make another knot, down on each side of the neck, knot again, 
back between the front legs, up on each side of the body, pass 
an end through the rope on each side of the back, go down and 
back through between the hind legs on each side of the udder 
and up to your starting place. Tighten your ropes and tie 
securely. This, I believe, to be the best method when the cow 
is able to stand for you to apply it. It makes no difference if 
she does go down afterwards. The other pessaries are applied 
in practically the same way and are no doubt good, but having 
never tried them I can say nothing about them. 
Sutures.—These are of two kinds, labial and hip. Babial, 
when only the lips of the vulva are sutured, and hip when they 
are passed through the skin of the hips. My method of suturing 
is this: Start with a seton needle and stout piece of tape, take 
a hold in the thick skin of the hip on one side a little below the 
level of the superior commissure of the vulva, go across taking 
a deep hold through both lips of the vulva and on over again 
through the skin on the hip of the other side, then cross 
obliquely to the first side and repeat at about the level of the 
inferior third of the vulva. Then draw up and tie your two ends 
securely. 
For these two methods, the only ones I ever used, I do not 
claim any originality. They were taught me by our worthy 
ex-President, Dr. Ridge. 
Trusses.—About these and skewers I shall not have much 
to say, never having used them. But it seems to me that the 
pessary has the same advantage over these that it has over 
sutures ; it maintains the parts in place while the trusses and 
sutures simply prevent the organ from being protruded to the 
