Bismuth paste in chronic suppurations, its diagnostic importance and therapeutic value . could conclude that the nephrectomy could be performedwith safety. It required a large incision, and the ragged cavity whichremained after removal of the diseased kidney was packed with long and tedious treatment, such as irrigation, the patient im-proved in general health, but the fistula showed no tendency to heal-ing, and the patient left the hospital May 22, nearly six months afteroperation, with very little hope that her fistula would ever close. 1 Heitz, Boyer, and Morens: Des Injectiones
Bismuth paste in chronic suppurations, its diagnostic importance and therapeutic value . could conclude that the nephrectomy could be performedwith safety. It required a large incision, and the ragged cavity whichremained after removal of the diseased kidney was packed with long and tedious treatment, such as irrigation, the patient im-proved in general health, but the fistula showed no tendency to heal-ing, and the patient left the hospital May 22, nearly six months afteroperation, with very little hope that her fistula would ever close. 1 Heitz, Boyer, and Morens: Des Injectiones de PatS Bismuthee enChirurgie Urinarie.—Annales des Maladies des Organs Genito Urinaries, June1, 1910. 120 BISMUTH PASTE IN CHRONIC SUPPURATIONS. About three months later, when our experiments with bismuth injec-tions became encouraging, I sent for her, intending to try this method,with the view of closing her fistula. She returned September 3, 1907,and the first bismuth injection was made, of which we have a skia-graph. It shows that the fistula reaches up to the diaphragm, about. Fig. 46. Tuberculous sinuses of kidney,nuses. Vertebral column unaffected. A, A (for tracing), openings of si- four and one-half inches in length. From September 3 until November13 only five injections were made, and a decided improvement patient did not, however, wish to remain longer at the hospital,and returned once a week for bismuth injections. By February 1,1908, the sinus was closed and remained so. The closure of the sinusjs not quite so remarkable a feature in this case as the most visual SINUSES FOLLOWING CERTAIN OPERATIONS. 121 gain in weight. In her worst state, in September, 1907, she weighedninety-one pounds, and within two years she has gained sixty-fourpounds, and is in perfect health. Case 3. Nephrectomy; Sinus Nine Years; One Injection; Closure inTwenty-four Hours.—Joe L. G., aged 46, developed an abscess in his leftlumbar region. Incision and evacuation of one qua
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