. Manual of operative surgery. de the sinus. Fig. 792 shows a very different arrangement in whichthe sinus opens at the bottom of a deep, acute-angled notch. The pelvis is smalland is almost completely contained within the notch and the sinus. Betweenthese two varieties there are all sorts of gradations. Exploration of the Kidney.—Expose the kidney, preferably by Methods A orG, with the patient in the prone position. By pulling upon the fatty cap-sule and by pressing on the abdomen with the hand, bring the kidney into thewound and deliver it on to the back, where it may be palpated and inspect
. Manual of operative surgery. de the sinus. Fig. 792 shows a very different arrangement in whichthe sinus opens at the bottom of a deep, acute-angled notch. The pelvis is smalland is almost completely contained within the notch and the sinus. Betweenthese two varieties there are all sorts of gradations. Exploration of the Kidney.—Expose the kidney, preferably by Methods A orG, with the patient in the prone position. By pulling upon the fatty cap-sule and by pressing on the abdomen with the hand, bring the kidney into thewound and deliver it on to the back, where it may be palpated and inspectedthoroughly. Should it be impossible to safely deliver the organ (because ofadhesions, etc.) separate it by blunt dissection from its surroundings, except, 646 OPERATIONS UPON THE KIDNEY of course, at the hilus, when its whole surface and pelvis may be the presence of calculi be suspected, but not be determined by palpation,it is often advised to perforate the organ in all directions with a fine round needle. Fig. 790.—(Broedel.)
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