. A new manual of surgery, civil and military. lauded by some authors and thoroughly condemned by prevailing opinion at the present time seems to be that in cases in whichthe nephritis is due to obstruction of the circulation caused by malpositionof the kidne^^ this operation, combined with nephrorrhaphy, may be of bene-fit. It is certain that in such cases albuminuria will disappear. The number of these cases is so small, however, that it is not of verygreat importance. In connection with Dr. George Suker we were able to SURGERY OF THE GENITO-URINARY TRACT 563 demonstrate that in n
. A new manual of surgery, civil and military. lauded by some authors and thoroughly condemned by prevailing opinion at the present time seems to be that in cases in whichthe nephritis is due to obstruction of the circulation caused by malpositionof the kidne^^ this operation, combined with nephrorrhaphy, may be of bene-fit. It is certain that in such cases albuminuria will disappear. The number of these cases is so small, however, that it is not of verygreat importance. In connection with Dr. George Suker we were able to SURGERY OF THE GENITO-URINARY TRACT 563 demonstrate that in no case in which there existed an albuminuric retinitisat the time of operation was any permanent improvement obtained. RESECTION OF THE KIDNEY This operation is but rarely indicated, as the reason for which one wouldbe likely to perform it is the removal of tumors. The kidney is so seldom theseat of benign tumors that this condition scarcely deserves consideration, thesmall benign cyst having been mentioned before. In malignant disease of the. Renal Calculus Filling Entire Cavity of Ekxal , fiKiiovED Through Pyelotomt. kidney even the complete removal of the organ promises but little; hencea resection would almost certainly be followed by a rapid recurrence. Insevere crushing injuries a resection sometimes becomes necessarJ^ In thesecases the extent of the excision will depend upon the degree of the should be in the form of a wedge-shaped piece in order to permit of theclosure of the defect. Sutures are likely to cut through the kidney tissue if applied directly,but if passed through gauze folded upon itself from two to four times, thenthrough both edges of the wound, then again through layers of gauze, then 564 SURGERY OF THE GENITO-URINARY TRACT back in the opposite direction, they can be tied without cutting. Thesesutures should be of catgut which will last about ten days before being ab-sorbed. The strips of gauze may be permitted to project from the wounds
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
