REPORTS OF CASES. 
381 
REPORTS OF CASES. 
Casks fkom a Note Book. By C. C. McLean, Y.S., (Meadville, Pa.) 
HYDROCHLORATE OF COCAINE FOR NEUROTOMY. 
I performed neurotomy on a valuable pacing gelding, August 
17th, for navicular arthritis, the case having failed to yield to any 
of the usual methods of treatment. I cast in the ordinary manner 
and used half a drachm of four per cent, solution cocaine hypo¬ 
dermically over the tract of the nerve, on each side of limb, at 
point of section, and removed over an inch of nerve. No mani¬ 
festation of pain shown during entire operation, except slight 
movement when cutaneous incisions were made. Above case was 
the second opportunity I have had of testing cocaine in neurotomy, 
making a short and painless operation with 1 o evil results. 
CAESAREAN SECTION IN THE SOW. 
A sow had been in labor twenty-four hours, and farm hands 
had tried all manner of means to effect delivery, and in so doing 
had lacerated and excoriated the vulva and vaginal passage to 
such an extent that it would have been a difficult matter to have 
delivered her had everything been natural. On close examina¬ 
tion, I found an osseous growth of ischio-pubic symphysis to be 
the cause of the dystokia, and from the effoi ts made before I was 
called, both hind legs and one fore one had been pulled off a pig. 
I lost no time, after my examination, in securing the sow, and 
made an incision in right flank, from near point of ilium down¬ 
ward far enough to enable me after incising the uterus, to re¬ 
move five large living pigs and the mutilated dead one and enve¬ 
lopes. After cleansing uterus thoroughly, I closed the opening 
in same with eleven carbolized gut sutures, and the abdominal in¬ 
cision with nine wire an.i gut sutures. I feared an unfavorable 
termination on account of severe inflammatory action caused by 
the previous unsuccessful attempt of the neighbors. The opera¬ 
tion was performed a portion of the time under antiseptic spray 
