. Manual of operative surgery. uns the whole length of the tube, diminishing itsrigidity and thus avoiding some possibilities of injury to tissues from not insert the tube too deeply, as it may then cause much pain, and evenreflex anuria. (c) In the same manner use and fix in place a dressed rubber tulje(Fig. 799). F. Voelcker (Zent. f. Chir., 13, June, 1914) in a case of secondary hemorrhagea few days after nephrotomy, delivered the kidney on to the back, applied com-pressive dressings and in four days later returned the kidney to its bed. Thisprocedure was successful and ought to
. Manual of operative surgery. uns the whole length of the tube, diminishing itsrigidity and thus avoiding some possibilities of injury to tissues from not insert the tube too deeply, as it may then cause much pain, and evenreflex anuria. (c) In the same manner use and fix in place a dressed rubber tulje(Fig. 799). F. Voelcker (Zent. f. Chir., 13, June, 1914) in a case of secondary hemorrhagea few days after nephrotomy, delivered the kidney on to the back, applied com-pressive dressings and in four days later returned the kidney to its bed. Thisprocedure was successful and ought to take the place of nephrectomy undersimilar circumstances. If the kidney is the seat of multiple abscess and nephrectomy is not indicated,open all the abscesses freely, either through the original renal incision or throughindividual incisions, as may be convenient. If it is believed that relief of tensionmay be of value in a case where nephrotomy has revealed no pathological condi- NEPHRO-LITHOTOMY 651 * Gauxehubber Ti&su*. Drainage of kidney. tion sufficient to account for the symptoms, then it is wise to leave the renalwound at least partly open. A. H. Ferguson, Edebohls, and others practisedecortication of the kidney when they desire to relieve tension in cases of nephri-tis. Their operation for nephritis consists in exposure, delivery, and decortica-tion of the kidney. Excellent reports havebeen published as to the success of decortica-tion in nephritis, but the whole question is stillsubjudice. Wounds of the kidney lical rapidlywhen sutured. F. S. Watson (Annals of Surg., Dec,1905; March, 1906; Sept., 1907) recommendsdouble nephrostomy to take the place ofureteral implantations: (i) as a palliativemeasure in cases of inoperable vesical tumoror of vesical tuberculosis causing suflferingwhere the infection is descending and bothkidneys are involved; (2) as a preliminary to total extirpation of the the kidney is exposed and incised, the ureter is ligated as near
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