. Manual of operative surgery. gh knowledgeof its surgical anatomy is essential. The descriptions given in many of thetextbooks of anatomy are entirely insufficient for practical use at the operatingtable. Of course when a kidney is the site of a large collection of fluid, whetherpurulent or not, it can be incised and drained or excised without necessitatingany exact anatomical knowledge on the part of the surgeon. The same is truewhen very large calculi are present. In such cases after exposure of the kidneyno real exploration is required; the indications for treatment are fairly
. Manual of operative surgery. gh knowledgeof its surgical anatomy is essential. The descriptions given in many of thetextbooks of anatomy are entirely insufficient for practical use at the operatingtable. Of course when a kidney is the site of a large collection of fluid, whetherpurulent or not, it can be incised and drained or excised without necessitatingany exact anatomical knowledge on the part of the surgeon. The same is truewhen very large calculi are present. In such cases after exposure of the kidneyno real exploration is required; the indications for treatment are fairly it is necessary really to explore the kidney and its pelvis, precise anatom-ical knowledge is essential. The kidney may be taken to be composed of a number of conical masses ofparenchyma, the secreting tubules of which open on the nipple-like apices of the ANATOMY KIDNEY 641 cones. These cones of parenchyma are fused together into one mass in suchfashion that the apices of the cones present into a cavity (sinus of the kidney). #P)^ 8 Fig. 782.—{Broedel.)p o S t ^ e
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