. The Cleveland medical journal . FIG. 1 Various other routes have been used, e. g., through a rectalincision or through a vaginal5 one, both of which must be con-demned under all circumstances since a ureterorectal fistula orinfection in the ureter would be almost certain. Delbet6 made aKraske incision parallel to the coccyx, then an L shaped arm,divided the insertion of the gluteus maximus, the sacrosciatic liga-ment, and partly the pyriformis muscle. Cabet advised thisthough I fail to see why. The transperitoneal operation, although Herrick—Surgical Approach to Lower Ureter 965 done by many
. The Cleveland medical journal . FIG. 1 Various other routes have been used, e. g., through a rectalincision or through a vaginal5 one, both of which must be con-demned under all circumstances since a ureterorectal fistula orinfection in the ureter would be almost certain. Delbet6 made aKraske incision parallel to the coccyx, then an L shaped arm,divided the insertion of the gluteus maximus, the sacrosciatic liga-ment, and partly the pyriformis muscle. Cabet advised thisthough I fail to see why. The transperitoneal operation, although Herrick—Surgical Approach to Lower Ureter 965 done by many operators, even today, seems entirely unjustifiedsince it adds the risk of intraperitoneal infection. We know that any incision through the abdominal wall whichdivides the muscular nerve supply or does not take advantageof the direction of the muscle fibers where this is possible, is notthe best surgery: moreover, any vertical incision must cut thenerve supply of the abdominal muscles, especially that of therectus. The transve
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectmedicine, bookyear191
