328 
REPORTS OF CASES. 
tion found one pig presenting, anterior presentation ; after eon- 
siderable work managed to deliver this one pig. After waiting 
four hours for more and finding there was no progress and sow 
growing weaker deeided upon Caesarian seetion (gastro-hyster- 
otomy.) Seenred sow on left side and sernbbed right side thor¬ 
oughly with soap and water, clipped the bristles closely over 
about a square foot of surface surrounding the line of incision, 
then washed with lo per cent, solution of creolin. The surface 
was then wiped dry with clean towel. Incised skin about six 
inches from a point two inches in front of angle of ilium down¬ 
ward and forward, in line with fibres of the small oblique muscle 
of the abdomen, which was incised for nearly the same distance, 
not, however, quite as far anteriorly and downward as was the 
incision througfli the skin. The transverse facia was then in- 
cised to like extent and the peritoneum lifted up by rat-tooth 
forceps and an opening made large enough to admit the finger, 
which was then used as a guide for the probe-pointed bistoury, 
which was used to enlarge the opening in the peritoneum 
enough to admit the hand. 
The uterus containing the young was easily secured and the 
part of the horn containing the pig was brought out through 
the opening and found very near the divergence of the two 
horns. An incision was made at a point near as possible to the 
body of the uterus and the pig extracted by means of a strong 
tenaculum placed in the snout. Care was taken that the fluids 
escaping with the foetus did not touch the wound in the abdo¬ 
men nor fall into the abdominal cavity. Two other pigs, which 
were found to be in the distant horn of the uterus, were removed 
through the same opening. All were dead, the placentae were 
easily removed, and all fluids were pressed out. The wound in 
the uterus was washed with warm water containing creolin— 
I part to 20 , —and at once stitched up with interrupted suture of 
waxed linen thread. 
Care was taken to invert the edges of the wound so that the 
peritoneal surface of the uterus came into close contact through- 
out the length of the incision. In placing the stitches the 
needle was carried through the peritoneal and muscular coats of 
the uterus but not through the mucous membrane coat. The 
stitches were placed half an inch apart. The uterus was re¬ 
turned and the wound in the abdominal wall closed by two 
rows of stitches, the first continuous suture of the peritoneum, 
the second consisted of two stout wires passed through the skin, 
one at the upper and the other at the lower third of the incision. 
