. Bovine obstetrics. Veterinary obstetrics. INVERSION OF THE VAGINA DURING PREGNANCY 97 ^^ ^'/ r"" i- r. V,^ i. practice are to be employed to prevent recurrence of the inver- sion. The following methods are indicated : The bandages, fully discussed at prolapsus uteri, are of little use here, as they can only be employed temporarily. The simplest operation consists of suturing the lips of the vulva (labial suture). It may be done with tape, 1 to 1^ cm. wide. The first stitch is put in directly below the superior commissure of the vulva, the second one half way down the labise. When t
. Bovine obstetrics. Veterinary obstetrics. INVERSION OF THE VAGINA DURING PREGNANCY 97 ^^ ^'/ r"" i- r. V,^ i. practice are to be employed to prevent recurrence of the inver- sion. The following methods are indicated : The bandages, fully discussed at prolapsus uteri, are of little use here, as they can only be employed temporarily. The simplest operation consists of suturing the lips of the vulva (labial suture). It may be done with tape, 1 to 1^ cm. wide. The first stitch is put in directly below the superior commissure of the vulva, the second one half way down the labise. When three sutures are put in, the second and third suture are placed at an equal distance between the first suture and lower commis- sure, so that the space be- tween the upper stitch and inferior angle of the vulva is divided into three equal parts by the two lower stitches. In order to pre- vent tearing, the stitches are placed 3 to 4 cm. from the lips and run through the skin, subcutis, muscu- laris, submucosa and mu- cosa. In the other lip the stitches perforate horizon- tally the same layers, only in an opposite direction. It is important to place the first stitch sufficiently high to prevent prolapsus of the upper wall of the vagina. Two sutures are mostly suffi- cient. Since these stitches usually have to remain until par- turition, ordinary tape does not suffice, as it may tear, leather strings having the same disadvantage. The so-called labial gate is certainly the best agent. It consists of two or three heated copper needles, 12 to 14 cm. long, each with an eye and point. After the needles have been pushed through both lips, the point is broken off by filing a little groove at the point of fracture. Then an eye similar to the one on the other side e. % I /^' Fig. U.—The Gate, labial Please note that these images are extracted from scanned page images that may have been digitally enhanced for readability - coloration and appearance of these illustrations may not
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