"To own the truth, I had done so much more than, seeing the hardened and lacerated condition of the parts, I had in the first instance anticipated was possible, that I was not exactly prepared for my good fortune. I remained for some time thinking—and, really puzzled, requested those present not to speak. I wanted some combination of medicine which I could not satisfactorily procure. A sedative to the general system was required, but not one that should depress; as, after operations of this description, the vital powers are disposed to sink, and therefore generally require to be stimulated. I moreover wanted an excitant to the uterus. Many things were hastily thought of, and as quickly rejected; and, in my difficulty, I was at last obliged to ask advice of those about me. A bandage or harness to pass over the parts was suggested; but the almost impossibility of fixing it properly, and the mischievous ingenuity the dog exhibits with its teeth, rendered this plan obviously inappropriate. One person proposed to adopt the custom—sometimes, I am sorry to say, followed by cow-leeches—of passing stitches through the labia. The brutal and unjustifiable practice was of course rejected, and, I trust, by the members of the veterinary profession, it is never embraced.
"Fairly at my wits' end, I suddenly determined to try how the injection of cold water into the uterus would act. I knew of no case in which this agent had been employed, and could not feel confidence concerning the consequences of the experiment; but, in despair, I resolved to hazard it. A quantity fresh from the pump was therefore obtained, and it was thrown up, being allowed to flow back. A stream of cold water was thus made to pass over the interior of the uterus, and about two quarts had been used before the animal appeared to be at all affected, excepting that the injection seemed to induce a sensation of discomfort. At last a feeble moan was uttered, which, when another pint or thereabouts had been injected, burst into something approaching to a cry. I then desisted. The tube was withdrawn, and, hoping that the symptom of pain resulted from the contraction of the organic fibre under the stimulating effects of the cold, the animal was ordered to be placed where nothing could disturb it.
"Having passed an hour in the company of my friend, when about to leave I requested to see the dog once more. The animal had been put into a hayloft, and I was pleasantly surprised to hear it give tongue on our approach: it came to meet us, and the change was such as I could not have anticipated. The parts had regained almost their natural appearance; certainly they presented nothing to indicate the aspect they had exhibited only a few hours before.
"A mild aperient was given. The animal had no other medicine, neither was any local application used. For three days a slight discharge of a blackish color ensued; but when this stopped, the animal was returned to its owner cured."
Hardened swellings, or indurated tumors in the teats, are very common in the bitch. They are caused by the milk being allowed to accumulate in the glands, and there to curdle or act as a foreign body on the parts immediately around it. The bitch will secrete milk, although she has had no pups; and a virgin bitch will do so quite as actively as one that has been a mother. When heat has subsided, although no intercourse has been permitted at the period, when the birth would have taken place the glands will swell; and on squeezing them, a full stream of thick milk will flow forth. Nine weeks, therefore, after œstrum, whether the desire has been gratified or denied, the teats should be examined and relieved. If this should not be done, small lumps will appear. These are round, not sensitive; but generally roll under the fingers, and appear at first to be perfectly detached, though more or less deep seated. No time should be lost in removing them; for if allowed to remain they rapidly increase, and often become of an enormous size. Others also appear until the whole of the glands are involved; and the extent of the implication renders an operation, which in the first instance would have been both simple and safe, so complicated and hazardous as not to be risked. The tumors, moreover, as they enlarge, by their weight and size, become exposed to numerous accidents; either they are excoriated by the movements of the legs, hurt by blows, or lacerated by being dragged along the ground. Anything that interferes with their integrity seems to change their character. From having been dormant they start into activity, and the slightest wound degenerates into a wide-spreading ulcer. When this last appearance is established, no treatment I know of can effect a cure. If there be a hope, it lies solely in the skilful use of the knife; but generally the constitution is so much exhausted, and the disease so firmly established, that surgery is but a desperate resort.
When taken in time, the situation of the tumor being ascertained, the skin is divided and the growth dissected out. This is easily done, and it is seldom that a vessel requiring ligature is divided. The care required is to spare the skin, no portion of which, unless it should be implicated, ought to be excised. Neither plaster nor suture will afterwards be wanted. The bitch would with her teeth remove either; and as the healing process is established, the integument will contract and unite.
When there is more than a single tumor to take away, or one of large dimensions to remove, though there may be no important vessels to ligature, the oozing of blood is sometimes greater than may with safety be disregarded. In such cases, the application of cold water, or of oil of turpentine, or the tincture of ergot of rye, or blowing upon the part by means of a pair of bellows, will be of service, and may each be tried; but the actual cautery, though held in high esteem by veterinarians, is not suited to these instances.
After the tumor or tumors are cleanly removed, a course of iodine should be enforced; and it should be persevered with for several months, nor given up simply because all present symptoms have disappeared. The tendency has been exhibited, and the medicine is now employed to prevent its development for the future; and, by the continued use of the agent, we hope to accomplish that intention.