The Yale expositor., 1902-06-20

Eversion of
the Uterus.
3 MM@MMMM@MMMs

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This is one OF the most serious accl-
dents happening 10 the cow or other
animal and one that is always difficult
20 remedy. BY aversion OF the uterus
we mean expulsion OF the womb from
the body. or casting the withers" as
farmers sometimes term Il. II Is often
confused with n simpler accident, viz.
eyersion OF the vagina or passage TO
the womb which may come on before
or after parturitlon but usually before,
and often together with aversion OF
the womb. The afterblrth Is usually
attached where the accident has super
vened close upon calying but Is absent
In a majority OF cases where calving
has taken place "a hours before the ac-
cident In many instances when dis
covered the COW has been lying down
and getting up again so that the womb
has become fouled, lacerated or
bruised. In this condition there will
be much less likelihood OF successful
treatment. Where the vagina Is alone
protruded or everted there are no coty-
ledons present and the mass Is very
much less In size than where the womb
Is present. No time should be lost in
commencing treatment. To quiet the
COW and lessen the severe strainlng
which opposes operation the COW may
be given a one ounce dose OF choral
hydrate In n quart OF warm water. A
clrcingle should also be buckled tightly
around the body Just In front OF the
udder TO assist in the same way and an
assistant may. by Itnching at the
ioins. help 10 lessen the expulsiye eff
forts OF the COW which are often so
strong as 10 make reduction OF the
accident an lmpossibility. After wash
ing the hands thoroughly with tar
soap, and having the assistants do the
same. the womb Is to be washed in n
warm solution OF any effective dlsin-
fectant OF 2 per cent strength. AS the
womb has become friable, tender.
readily torn. II Is now important TO use
some solution as a wash that will
tougher IL and az the same time prove
healing and antiseptic. For this pur-
pose we have found nothing so good
as n solution OF one ounce OF sugar OF
lead and two ounces OF tincture OF
opium In n quart OF water Use this
freely 10 battle the protruded mass and
Il will be found that Il coagulates the
surface and renders 10 tougher so that
handling does not so readily rupture
the tissues and so cause hemorrhage
The washed womb should now be
placed In n clean sheet held at each
side OF the COW by an assistant and by
this means Is 10 be raised 20 the height
OF the vulva. Now commences the diff
ficult work. for the mass IL very much
larger than the orifice OF the body and
II is most difficult TO reduce II or
achieve its entrance. One assistant
should grasp the mass with both hands
close TO the vulva and commence
squeezing II gently and forcing Il to-
wards the body seeking 10 tuck SIS
edges into the vaginal passage Lit
tie by little portions disappear and the
mass is gradually pressed inwards
against the straining OF the COW. When
II has been possible to make fairly
large part OF the mass nearest the
body disappear then the shut fist ot
another assistant Is 10 be applied 10
the free portion OF the womb farthest
from the body. then. pressing steadily
forwards and inwards, while the other
assistants patiently squeeze. press and
manipulate the mass towards reduc-
ton In size and advance towards the
body the mass may suddenly telescope
upon itself and disappear within the
body. The arm Is 10 follow it into
the abdominal cavity 20 counteraet
outward expulsIve efforts upon part Of
the COW. and when she becomes more
quiet the womb Is 10 be smoothed oct
as far as possible and the two horns
OF the womb straightened out and got
into their proper position In the pei
Wis. This done n mass OF fresh, nm
sailed lard should II possible be work
ed into each OF the two horns and left
there 60 act "a an anJseptie, melt
and collect dctritus OF the womb and
afterhlrth and Tow gently outwards
bringing such foreign matters from the
body and at the same time protecting
the animal against absorption Of polls
onous matters. which would otherwise
enter the circulation and set up n fatal
condition. a rope truss Is now 20 be
applied to secure retention OF the
womb and may be left In place for
q hours Prolapsed vagina Is 20 be
treated In the same way but the OPP
Grafton Is an easy one.