Annals of surgery . us attained may be made to extend over severalhours. One of the dangers, however, which is associatedwith this method is the production of a pyelonephritis,from the entrance sooner or later of some of the intestinalcontents into the ureters. Gersuny, Borelius, Mueller, Mus-catello and Wehr have all suggested various ingeniousmodifications for obviating this difficulty, but none havesucceeded in entirely overcoming it. And aside from theactual danger to life, the unnatural manner in which theurine must be voided per anum constitutes a great annoy-ance, particularly to patien
Annals of surgery . us attained may be made to extend over severalhours. One of the dangers, however, which is associatedwith this method is the production of a pyelonephritis,from the entrance sooner or later of some of the intestinalcontents into the ureters. Gersuny, Borelius, Mueller, Mus-catello and Wehr have all suggested various ingeniousmodifications for obviating this difficulty, but none havesucceeded in entirely overcoming it. And aside from theactual danger to life, the unnatural manner in which theurine must be voided per anum constitutes a great annoy-ance, particularly to patients of the male sex. I am quite convinced, therefore, that the advent ofMaydls operation has in no way arrested the further devel-opment of plastic surgery in this field, but I believe thatvery probably ureteral transplantation will again be aban-doned and recourse be had to direct suture of the edges ofthe deformity under discussion as the only means by whichthe normal relations can be restored. I myself have always. Fig I.—Result of operation for ectopia vesicae after themethod of Trendelenburg. Power of retaining urine, afterwardslost again.
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
