. Annals of surgery . ifference of opinion was expressed regardingthe method of exposure and removal of stones from the kiilney pelvis, thecalyces and the kiflney siilistance, Init I think to-day there would prettygeneral endorsement of the views expressed at that time in a paper hy Bevan,who urged pvelotmnv and direct incision over the stone, should it lie in a calyxor in the jjarenclntna. The accurate Idealization of stones hy the ,X-rays 111-? Fig. I.—K. Pennsylvania Ho,s-pital. No. 197. 1922. This plate repre-sents phosphatic stones, filling the pelvesand up into the ca
. Annals of surgery . ifference of opinion was expressed regardingthe method of exposure and removal of stones from the kiilney pelvis, thecalyces and the kiflney siilistance, Init I think to-day there would prettygeneral endorsement of the views expressed at that time in a paper hy Bevan,who urged pvelotmnv and direct incision over the stone, should it lie in a calyxor in the jjarenclntna. The accurate Idealization of stones hy the ,X-rays 111-? Fig. I.—K. Pennsylvania Ho,s-pital. No. 197. 1922. This plate repre-sents phosphatic stones, filling the pelvesand up into the calyces in sucha manner as to give the appearance of apyelogram and has been often so inter-preted. Stones removed from right kid-ney by Doctor Billings, July, removed from left kidney, March,1922. through pyelotomy and from in-cisions through kidney substance. Ahandful of stones were removed. Nosutures. Discharged March 31st. Deathoccurred two weeks after she returned TECHXIC OF RENAL AND URETERAL SURGERY. certainlv removes one of the reasons advanced for longitudinal section ofthe kidnev. The multiplicity of stones or the large size of a stone in myexperience does not call for the section of the kidney. I will show an X-rayslide of a case in which I removed sixty stones through two incisions in thekidney substance, and I have repeatedly removed enormous stones, which filledthe pelvis and into the calyces, by carrying the pelvic incision up intothe kidnev substance, and am sure that this incision does much less harm, isaccompanied by less hemorrhage and is followed by prompter healing thansection of the kidney. Eisendrath has recently ( Gyn. and May,1923) described this incision and called itEnlarged Pyelotomy. If it is necessary tocarry the incision into the kidney substance,the retro-pelvic artery can Ije ligated Ijeforedivision. .An interesting article on RenalFunction following Nephrotomy. by Magnun( Gyn. and May, 1923) givesampl
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