By M. Cross, M. V., Milan. — In July, 1829, I was desired to attend a small bull bitch six years old, and who had had puppies four times. The uterus was completely inverted, and rested all its weight on the vaginal orifice of the urethra, preventing the discharge of the urine, and thus being the cause of great pain when the animal endeavoured to void it, or the fæcal matter. The uterus was become of almost a black colour, swelled, softened, and exhaling an insupportable odour. Judging from this that the preservation of the uterus was impossible, and reckoning much on the good constitution of the patient, I warned the proprietor of the danger of its reduction, even supposing that it was practicable, and proposed to him the complete extirpation of the uterus as the only means that remained of saving the bitch.
Armed with his consent, I passed a ligature round the neck of the uterus, at the bottom of the vagina, and drew it as tight as I possibly could. On the following day I again tightened the ligature, in order to complete the mortification of the part, and the separation of the womb. On the third day I extirpated the womb entirely, close to the haunch. There was very slight loss of blood, but there ran from the walls of the vagina a small quantity of ichorous fluid, with a strong fetid smell. The operation was scarcely completed ere she voided a considerable quantity of urine, and then searched about for something to eat and to drink.
The portion of the uterus that was removed weighed fourteen ounces. The mucous membrane by which it was lined was in a highly disorganized state. From time to time injections of a slight infusion of aromatic plants were introduced into the vagina, and the animal was nourished with liquid food of easy digestion.
The first day passed without the animal being in the slightest degree affected; but, on the following day, in despite of all our care, an ichorous fluid was discharged, which the dog would lick notwithstanding all our efforts to prevent it. The general health of the animal did not seem to be in the slightest degree affected.
On the fourth day after the operation, the cords that had served as a ligature fell off, and all suppuration from the part gradually ceased.
October 20th.
— Three months have passed since the operation, and she is perfectly well.
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