anum or with a weak solution of carbolic acid (1 dram to 1 quart
water).

The closed fist may now be planted in the rounded end of the largest horn
and pushed on so as to turn it back within itself and carry it on through
the vagina, the other hand being used meanwhile to assist in the inversion
and in pushing the different masses in succession within the lips of the
vulva. In case of failure, resort should be had at once to a plan which I
have successfully followed for many years. Take a long linen or cotton
bandage, 5 or 6 inches wide, and wind it around the protruding womb as
tightly as it can be drawn, beginning at the free end and gradually
covering the entire mass up to the vulva. By this means the greater part of
the blood will be forced out of the organ and its bulk greatly reduced, so
that its reduction is much facilitated. An additional advantage is found in
the protection given to the womb by its investing bandage while it is being
pushed forward into the vagina and abdomen. In manipulating the exposed
womb there is always danger of laceration, but when the organ is covered
with a sheet it is next to impossible to tear it. The subsequent
manipulation is as in the other case, by pushing the blind end forward
within itself with the closed fist and carrying this on through the vagina
into the abdomen with the constant assistance of the other hand. Often it
will be found convenient to use the edge of the left hand to push the outer
part of the protruding mass inside the lips of the vulva, while the right
hand and arm are carrying the central portions forward through the vagina.
An intelligent assistant, pushing with the palms of both hands on the outer
portion of the mass, will also afford material assistance. As the womb is
turned within itself the wrapping bandage will gradually loosen, but once
the great mass has entered the passages it is easy to compel the rest to
follow, and the compression by the bandage is no longer so important. When
the womb is fully replaced the bandage is left in its interior in a series
of loose folds, and can be easily withdrawn. It is well to move the hand
from side to side to insure that the two horns of the womb are fully
extended and on about the same level before withdrawing the arm and
applying a truss.

When the womb has been long everted and is gorged with blood, inflamed, and
friable there is often the additional disadvantage that the animal is
unable or unwilling to rise.