An American text-book of genito-urinary diseases, syphilis and diseases of the skin . ation in the bladder isprobably preferable to the methodproposed by Monari, because it iseasier of performance. 4. Implantation of theUreter on the Skin.—Le Dentuwas the first to implant the ureteron the skin for anuria in a case ofabsolute impermeability from can-cer in the small pelvis. The symp-toms were relieved, but the patient died thirteen days later from cancerouscachexia. This case, however, established the operation as an effective pro-cedure to be employed in combating anuria due to incurable mecha
An American text-book of genito-urinary diseases, syphilis and diseases of the skin . ation in the bladder isprobably preferable to the methodproposed by Monari, because it iseasier of performance. 4. Implantation of theUreter on the Skin.—Le Dentuwas the first to implant the ureteron the skin for anuria in a case ofabsolute impermeability from can-cer in the small pelvis. The symp-toms were relieved, but the patient died thirteen days later from cancerouscachexia. This case, however, established the operation as an effective pro-cedure to be employed in combating anuria due to incurable mechanicalcauses, as it at least prolonged life. Pozzi, in the removal of a retro-peritoneal parovarian cyst by laparotomy,divided the ureter at about its middle. The upper end was dissected out for4 or 6 cm. and implanted into the skin in the lumbar region through a button-hole opening. The distal portion of the ureter was sutured to the lower endof the abdominal wound. The patient recovered from the operation, andthree months later nephrectomy was resorted to, which was followed by. 538 DISEASES OF THE URETER. recovery. Microscopical examination of the kidney showed that it washealthy, with the exception of a few small islands of interstitial septic invasion had taken place, as no micro-organisms were found. Theintegrity of the kidney in this case, after so long a period of exposure throughthe open ureter, is remarkable, and, according to Albarran, was due to the anti-septic precautions in the after-treatment. This case was one in which uretero-ureterostomy might have been performed with advantage. Losses of substance of the ureter too extensive to permit of uretero-ureterostomy, or located too high up to permit of implantation of the upperend into the bladder, will require either implantation on the skin or into thebowel. As both of these methods are objectionable on account of the liabilityto infection sooner or later, and the consequent necessity of nephrectomy,o
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