. Modern surgery, general and operative. amortality of per cent. Perforating wounds of the kidney, if purely posterior, do not involve theperitoneum; if anterior, they do. The symptoms are escape of blood and urinefrom the wound; hematuria is usual, but not invariable; pain as in rupture; thepatient may be unable to micturate; and nausea, vomiting, and constitutionalsigns of hemorrhage exist. Traumatic peritonitis, perinephric abscess, or gen-eral sepsis may ensue. Confirm the diagnosis by exploration with the fingerafter operative exposure. Extraperitoneal injuries give a good, and intra
. Modern surgery, general and operative. amortality of per cent. Perforating wounds of the kidney, if purely posterior, do not involve theperitoneum; if anterior, they do. The symptoms are escape of blood and urinefrom the wound; hematuria is usual, but not invariable; pain as in rupture; thepatient may be unable to micturate; and nausea, vomiting, and constitutionalsigns of hemorrhage exist. Traumatic peritonitis, perinephric abscess, or gen-eral sepsis may ensue. Confirm the diagnosis by exploration with the fingerafter operative exposure. Extraperitoneal injuries give a good, and intraperi-toneal a bad, prognosis. Treatment.—If the wound of the kidney be extraperitoneal, enlarge thelumbar wound to permit of drainage, and arrest hemorrhage by packing andhot water or by a purse-string suture (Figs. 933, 934). Suture of the Kidney.—The tendency of any suture material to cut throughthe kidney structure is great. Thefollowing simple procedure greatlylessens this danger: Cut the ordi-nary catgut roll into three or four.
Size: 1576px × 1585px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, bookidmodernsurger, bookyear1919
