Gynecology . in Fig. denuded muscles of the leg become rapidly invested in a new sheath. OPERATIONS ON THE KIDNEY In operating on kidneys the incision and proper exposure of the kidney is ofthe greatest importance, for if this is not properly done the operation may pre-sent the greatest technical difficulties. The choice of the incision is dependentupon the magnitude of the operation. For minor procedures, represented espec-ially by nephrorrhaphy and puncture and drainage of an abscess, the kidney canbe reached by separation of the muscle layers without splitting or cutting them;while
Gynecology . in Fig. denuded muscles of the leg become rapidly invested in a new sheath. OPERATIONS ON THE KIDNEY In operating on kidneys the incision and proper exposure of the kidney is ofthe greatest importance, for if this is not properly done the operation may pre-sent the greatest technical difficulties. The choice of the incision is dependentupon the magnitude of the operation. For minor procedures, represented espec-ially by nephrorrhaphy and puncture and drainage of an abscess, the kidney canbe reached by separation of the muscle layers without splitting or cutting them;while for more extensive operations, when an enlarged kidney must be deliveredthrough the wound, the muscles must be more or less extensively sectioned. MINOR OPERATIONS For minor operations, such as suspension, the following technic, taken fromKelly, is recommended: The patient is placed in the semiprone position, with an appropriate pad,so as to expose the kidney region as well as possible. One first palpates the. Fig. 390.—Incision for Suspension and Minor Operations on the Kidney. regional landmarks, which consist of the twelfth rib, the firm outer border ofthe sacrospinalis muscle, and the crest of the ileum as far as the anterior skin incision is started somewhat above the middle of the twelfth rib,and is curved downward and forward toward a point midway between the line 684 OPERATIONS ON THE KIDNEY 685 of the spinous processes of the vertebrae and the anterior superior spine, about3 inches in length. This incision exposes the latissimus dorsi and external vv.^Q—-
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Keywords: ., bookcentury1900, bookdec, booksubjectgynecology, booksubjectwomen
