Operative surgery . Fig. 1083.—Operation of resection of up-per end of ureter, Morriss ease. Show-ing opening into kidney substance andinto the pelvis, and oblique associationof ureter and dilated Fig. 1084.—Operation of resection of ure-ter, Morriss case. Side of pelvis sewedup and ureter attached to dependentportion. exhibited too often as an earnest of commendable outcome and a stimulus toscientific endeavor. Conclusions of Van Hook.— 1. The extrapelvic portion of the ureter ismost readily and safely accessible for exploration and surgical treatment bythe retroperitoneal route. 2.
Operative surgery . Fig. 1083.—Operation of resection of up-per end of ureter, Morriss ease. Show-ing opening into kidney substance andinto the pelvis, and oblique associationof ureter and dilated Fig. 1084.—Operation of resection of ure-ter, Morriss case. Side of pelvis sewedup and ureter attached to dependentportion. exhibited too often as an earnest of commendable outcome and a stimulus toscientific endeavor. Conclusions of Van Hook.— 1. The extrapelvic portion of the ureter ismost readily and safely accessible for exploration and surgical treatment bythe retroperitoneal route. 2. Hence all operations upon the ureters above the crossing of the iliacarteries should be performed retroperitoneally, except in those cases inwhich the necessity for the ureteral operation arises during laparotomy. 3. The intrapelvic portion may be reached by incision through the ven-tral wall, the bladder, the rectum, the vagina in the female, the perina?um inthe male, or by Kraskes sacral method. 4. The ureter is not only exceptionally well protected from injury, butby its elasticity and toughness resists violence to a remarkable degree. 5. The histology of the ureters furnishes most favorable
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