The practice of surgery . t it cures thedisease. As long ago as 1S92Fenger, of Chicago, treatedsuccessfully this ureteralkinking by an operative pro-cedure similar to the fam-ous Heineke-Mikulicz pyloro-plasty. We now apply thisprinciple to stricture of theureter. At the same time, ifthe kidney is movable, wefix it. Some surgeons haveprovided a free drainage tothe renal pelvis by making ananastomosis between the pelvis and the ureter, while others haveresected large portions of the wall of the sac. The literature of thissubject is extensive, and the numerous operations proposed are ex-tremely
The practice of surgery . t it cures thedisease. As long ago as 1S92Fenger, of Chicago, treatedsuccessfully this ureteralkinking by an operative pro-cedure similar to the fam-ous Heineke-Mikulicz pyloro-plasty. We now apply thisprinciple to stricture of theureter. At the same time, ifthe kidney is movable, wefix it. Some surgeons haveprovided a free drainage tothe renal pelvis by making ananastomosis between the pelvis and the ureter, while others haveresected large portions of the wall of the sac. The literature of thissubject is extensive, and the numerous operations proposed are ex-tremely ingenious. PYELITIS Pyelitis, pyelonephritis, and suppurative nephritis are conditionsdistinctly susceptible of surgical treatment. Infections of the kidneyand its pelvis come about through the blood-stream or by direct ex-tension from below—from the bladder and genitals up through theureter. We were formerly taught that all renal suppuration came frombelow, but it is now apparent that this is not the case; and when one. Fig. —Van Hooks method of lateralimplantation of the ureter: A, The renal por-tion of the ureter split longitudinally, the endstrimmed so as to admit of easy implantation,and the loop of catgut passed; B, showing themethod of passing the needles so as to draw therenal portion into the vesical portion; C, the im-plantation completed (Fowler). 376 GEXnO-lIlIXARY ORGANS considers the excretory function of the kidney, one perceives how in-evitably it is subject to damage in connection with all sorts of bacteria lodge in the kidney in the course of measles, small-pox, scarlet fever, typhoid fever, and tuberculosis; while the colon bacil-lus and pus-producing cocci all may pass through it. Gonorrhea, as infections from parturition, are common causes of renal sup-puration. A familiar old term for these renal inflammations is surgical kidney. We need not consider here the suppuration due
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
