Annals of surgery . does no harm, and may be kept up without danger for half anhour, as is claimed by Tuflfier, without any bad result. Casesreported by Desnos, Mayo Robson, and others are strikingexamples of those uncontrollable haemorrhages occurringduring exploration of the kidney by incision, and which havenecessitated immediate nephrectomy. In order to reach the pedicle and properly apply the. clamp the fingers should be passed down by the easiest open-ing,—that is to say, underneath the lower end of the following the concave aspect of the organ, the fingers willfeel the pulsati
Annals of surgery . does no harm, and may be kept up without danger for half anhour, as is claimed by Tuflfier, without any bad result. Casesreported by Desnos, Mayo Robson, and others are strikingexamples of those uncontrollable haemorrhages occurringduring exploration of the kidney by incision, and which havenecessitated immediate nephrectomy. In order to reach the pedicle and properly apply the. clamp the fingers should be passed down by the easiest open-ing,—that is to say, underneath the lower end of the following the concave aspect of the organ, the fingers willfeel the pulsations of the artery. If a clamp is used, it issimply introduced along the fingers, using them as a kidney being held in the incision, it is incised on itsconvex aspect for from four to ten centimetres, and the inci-sion should be carried down deeply in the parenchyma, so as UNCOMPLICATED NEPHROLITHIASIS. 327 to open into the pelvis of the organ. The sHght oozing- thattakes place is rapidly mastered by packing the incision withgauze for a few moments. The finger is then passed into thekidney, and the presence of a calculus lodged in the paren-chyma, calyces, or pelvis is sought for. If nothing can be felt,a very fine ureteral bougie should be passed down along theureter to make sure that the calculus has not become lodgedtherein. When the calculus or calculi have been found, the
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
