Operative surgery . antation, if possible. 2-i. Complete transverse wounds of the upper end of the ureter shouldbe treated by implantation of the ureter into the pelvis of the kidney, asdevised by Kiister. 25. Complete transverse wounds of the ureter near the bladder shouldbe treated by implantation into that viscus either by splitting the ureter orby invagination. 26. Loss of substance of the ureter too extensive to permit of uretero-ureterostomy, or too high up to permit of implantations into the bladder,may be treated by implantation on the skin or into the bowel. 27. Implantation into the
Operative surgery . antation, if possible. 2-i. Complete transverse wounds of the upper end of the ureter shouldbe treated by implantation of the ureter into the pelvis of the kidney, asdevised by Kiister. 25. Complete transverse wounds of the ureter near the bladder shouldbe treated by implantation into that viscus either by splitting the ureter orby invagination. 26. Loss of substance of the ureter too extensive to permit of uretero-ureterostomy, or too high up to permit of implantations into the bladder,may be treated by implantation on the skin or into the bowel. 27. Implantation into the bowel is objectionable on account of theinfection which is almost certain to follow sooner or later. 882 OPERATIVE SURGERY. 28. Implantation into the rectum should not be resorted to whenimplantation into the bladder is possible. 29. Implantation on the skin in the lumbar region, or tlie abdominalwall, may have to be followed by secondary nephrectomy, which, however, ismuch less dangerous than the primary > e) UKETLRAL BOUGIES. |DILATING CATHETERS. | Fui. —In^itruinents emjiloyed in catlieterisin of ureter in Metal ureteral sound, b. Cystoscope with obturator removed, c. Cystoscope withobturator in place, d. Searcher, e. Aiiplicator. /. Long forceps, g. Dilator ofmeatus and elastic ureteral catheter witli stylet. /;. Dentists wax. A good naturalor artificial light (Fig. 103) is of great importance in these examinations. Patientshould be quiet when instrument is in ureter. An evaeuator (Fig. 1088) is needed toremove fluid from around ureteral openings. The Catheterism of the Ureter.—Catheterism of the ureter is now anaccepted fact of practical importance. The introduction of a catheter orprobe into the ureter for the purpose of diagnosticating the presence, nature,and situation of morbid conditions relating to the kidney and ureter, andtheir treatment, is an advance already assured, and soon bids fair to becomea general established means of inv
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