. Manual of operative surgery. Fig. 806.—{Bazy.) Fig. 807. incision A, C, in the ureter. Unite the anterior edge of the ureteral woundto the anterior edge of the sac wound (x-x\ Fig. 808). Unite the posterioredge of the ureteral wound to the corresponding edge of the sac wound (y-y^).The sutures, of fine silk or hemp, must not include the mucosa in their bite.(This lest calculi form on them.) The result is a lowering of the ureteral orificeto the lowest point in the sac (Fig. 809.) The operation is identical in prin-ciple with Mikuliczs pyloroplasty. If a ureteral stricture exists between thep
. Manual of operative surgery. Fig. 806.—{Bazy.) Fig. 807. incision A, C, in the ureter. Unite the anterior edge of the ureteral woundto the anterior edge of the sac wound (x-x\ Fig. 808). Unite the posterioredge of the ureteral wound to the corresponding edge of the sac wound (y-y^).The sutures, of fine silk or hemp, must not include the mucosa in their bite.(This lest calculi form on them.) The result is a lowering of the ureteral orificeto the lowest point in the sac (Fig. 809.) The operation is identical in prin-ciple with Mikuliczs pyloroplasty. If a ureteral stricture exists between thepoints A and C, the operation of course cures that also. When obstruction isdue to kinking of the ureter over one of the renal vessels, either make an ana-stomosis between the sac and the ureter below the obstruction CFig. 810, x-y)or divide the ureter and unite the open end of the lower segment to the lowestpoint in the hydronephrotic sac. Mayos method of using a flap of fat to support the line of suture in thekidney pelvis
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