Preparatory and after treatment in operative cases . out. Por the purpose urotropin, methy-lene blue, sodium benzoate and similar preparations may be ad-ministered for several days or a week preceding the cases of infected kidney some surgeons lavage the pelvis ofthe kidney daily by means of an uretral catheter for several daysbefore the operation. This is a measure of doubtful utility, asthe necessary manipulations require unusual skill and, indeed,even if properly performed, the trauma to the ureter while thelavage is being made is exceedingly liable to cause irritation. Ina gen
Preparatory and after treatment in operative cases . out. Por the purpose urotropin, methy-lene blue, sodium benzoate and similar preparations may be ad-ministered for several days or a week preceding the cases of infected kidney some surgeons lavage the pelvis ofthe kidney daily by means of an uretral catheter for several daysbefore the operation. This is a measure of doubtful utility, asthe necessary manipulations require unusual skill and, indeed,even if properly performed, the trauma to the ureter while thelavage is being made is exceedingly liable to cause irritation. Ina general way it may be said that an interval of three days shouldbe permitted to succeed instrumentation of the ureter, for anypurpose, before the kidney is sectioned. 556 OPERATIONS OX THE KIDNEY 557 During lumbar approach to the kidney the patient is posturedin a manner to increase the distance between the twelfth rib andthe crest of the ilium. For the purpose the patient is placed onthe side opposite to the one attacked, and a pad or cushion placed. Fig. 347. -Patient Postured for Approach to the Kidney by the LumbarRoute, (von Bergmann.) under the dependent loin. Fig. 347 shows the patient posturedin the manner stated. The operating table shown in Fig. 87 hasan appliance which allows of attainment of this position with adevice which permits of modification of degree of elevation tosuit the indicationsin a given no such ap-paratus is availablean air cushion (),may be advan-tageously employed,or a blanket rolled on itself to the desired thickness will answer the purpose. Xarcosisis not readily administered with the patient in this position, andcare must be exercised in this connection, so that respiration benot unnecessarily interfered with.
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