A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . wounds, or torn bythe passage of a wheel across the abdomen. If it is tornclear across, little or no blood will enter the bladder, sothat the urine passed from the bladder may be entirelyclear. If it is partially torn, some urine from the injuredside may reach the bladder. In either case fhei-e will bea retroperitoneal extravasation of urine, with more orless obstruction in the corresponding kidney. Such acondition was formerly treated by repeated the
A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . wounds, or torn bythe passage of a wheel across the abdomen. If it is tornclear across, little or no blood will enter the bladder, sothat the urine passed from the bladder may be entirelyclear. If it is partially torn, some urine from the injuredside may reach the bladder. In either case fhei-e will bea retroperitoneal extravasation of urine, with more orless obstruction in the corresponding kidney. Such acondition was formerly treated by repeated the present time the proper procedure is to expose the 13 Iroters,Iretlira, REFERENCE HANDBOOK OF THE ]tfEDICAL SCIENCES. ureter, to suture or tampon the ?wound, or to resect andsuture tlie ureter if the injury is more severe. In anyease drainage should be empk\ved. If tlie ureter is in-jured beyouil hope of repair, or if tliere is rettex anuriathreatening the life of the patient, ueplirectomy shouldbe jierformed. The ureter is frecjuently injured in pelvic operations,being cut or seized in a clamp or ligature. This is espe-. FiG. 4839.—Relations of Un-ters. , Right ureter; , left uieter; spermatic vein; , left spermatic vein. ciall} the case in operations for carcinoma of the uterus,?while the tube is less often injured in operations for car-cinoma of the rectum, because the regional lymph glandsin the latter disease are not so near the ureters. The pa-tient ma} die from ureteral infection, or from obstructionto the urinary ilo^sv, or he may recover with a urinaryfistula. Long-continued pressure during childbirth maycause necrosis of the vvall of the ureter and a fistulousconnuunication between it and the uterus or plastic operations have been devised for curingsuch a fistula. They consist either in the re-establish-ment of the wall of the ureter, or in its implantationinto the bladder higher up. Details of this operation aregiven in
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