. On the origin and progress of renal surgery, with special reference to stone in the kidney and ureter and to the surgical treatment of calculous anuria. Together with a critical examination of subparietal injuries of the ureter . uthors case. Table VI., No. 17.) greater part of the incision in the renal pelvis, and thensutured the ureter to the lowest part of the infundibulum asKtister had done (see Figs. 6 and 7). Again the result didnot satisfy me because of the small calibre and extreme tenuityof the ureter; so, to avoid a fistula and a long convalescence onthe one hand, or stenosis of th
. On the origin and progress of renal surgery, with special reference to stone in the kidney and ureter and to the surgical treatment of calculous anuria. Together with a critical examination of subparietal injuries of the ureter . uthors case. Table VI., No. 17.) greater part of the incision in the renal pelvis, and thensutured the ureter to the lowest part of the infundibulum asKtister had done (see Figs. 6 and 7). Again the result didnot satisfy me because of the small calibre and extreme tenuityof the ureter; so, to avoid a fistula and a long convalescence onthe one hand, or stenosis of the ureter at the site of operationand a subsequent nephrectomy, on the other hand, I removedthe kidney there and then. Had the patient been youngerand more robust, I should, even with so small a ureter, havegiven the plastic operation a chance of succeeding. The case ORIGIN AND PROGRESS OF RENAL SURGERY. 25 however, testifies to the feasibility of both Fengers andBolsters operations when the ureter below the constrictionor valve is of normal diameter. The nine operations for resection of the ureter for hydro-nephrosis (or pyonephrosis) above quoted show that the aimin our treatment of hydronephrosis ought to be Fig. -Eelation of ureter to infundibulum after resection.(Authors case. Table VI., No. 17.) Before actually proceeding to resect the ureter lor strictureor a valve, the surgeon should not fail to ascertain whetherthere is a clear channel in the ureter below the stricture orvalve to be divided; otherwise he may find that the operationis useless when completed, as it was in Van Hooks may happen, even if the rest of the ureter is unob-structed, and the plastic operation has been completed,that the small calibre, or extreme tenuity of the walls of theureter may make the operator dissatisfied with the result, inview of probable future stenosis. Under these circumstances
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