Operative surgery . d aroundthe lower instead of the upper part of thekidney. Dearer removes the fatty capsule en-tirely from the posterior surface and tothe hilum from the anterior. He jjassesgauze beneath the upper pole of the kid-ney and below the lower, allowing it toremain in place for a week or ten is packed around the kidney andthe hypogastric compress employed as inthe preceding instance. Usually the woundheals completely in four or five weeks. Morriss Method.—Henry Morris fixesthe kidney in the wound by means ofthree silk sutures passed through thefibrous capsule and kidney
Operative surgery . d aroundthe lower instead of the upper part of thekidney. Dearer removes the fatty capsule en-tirely from the posterior surface and tothe hilum from the anterior. He jjassesgauze beneath the upper pole of the kid-ney and below the lower, allowing it toremain in place for a week or ten is packed around the kidney andthe hypogastric compress employed as inthe preceding instance. Usually the woundheals completely in four or five weeks. Morriss Method.—Henry Morris fixesthe kidney in the wound by means ofthree silk sutures passed through thefibrous capsule and kidney substance andthe borders of the transverse fascia andaponeurosis of the transversalis muscleand tied, as indicated in the illustration(Fig. 1040). The wound is closed atonce and the patient kept quiet in bedfor three or four weeks. Morris has practiced this plan satisfactorily formany years, and consequently commends it highly. Strict asepsis shouldbe practiced, otherwise the silk sutures will become Fig 1040.—The operation of nephro-pexy, Morriss method. OPKRATIONS ().\ VlsrKRA CONNECT?]!) WITH rKKlTuNyEUM. 831 Tttuffer, objectiii*, to tlie introduction of sutures into the kidney, becauseof their ill elTects, advised limited decortication, with the view of securingunion of the exposed kidney structure to the abdominal wound, aided bystitching the retlected flaps to the fascial and aponeurotic tissues. Modifica-tions in the size, extent, shape, and attacliments of the fiaps have been prac-ticed by dilTerent operators, but as yet a decided opinion regarding theircomparative worth can not be expressed. VuUiet, after exposing and lifting the kidney in tlie usual manner, raises,through a short vertical incision of the skin and fascia, made parallel withthe spinous ])roccss of the first lumbar verte-bra, a slip of the tendon of the erector spina?,about ten inches long and a quarter of aninch wide, which is then divided above, pulledout through the jn-imary wound,
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