. Surgery, its principles and practice . tare intractable. The capsule issplit along the convex borderand stripped from the kidney to the hilum. In some cases it may be advisable, after the practice ofEdebohls, to remove the capsule entirely. Nephrotomy is the operation of incising the kidney for explora-tion or drainage, for the removal of stone, for the relief of unilateralnephralgias, or as preliminary to plastic operations for hydronephrosisor pyonephrosis. The incision into the kidney varies with the purposeof the operation. In every case, M^hether long or short, it should be madea little
. Surgery, its principles and practice . tare intractable. The capsule issplit along the convex borderand stripped from the kidney to the hilum. In some cases it may be advisable, after the practice ofEdebohls, to remove the capsule entirely. Nephrotomy is the operation of incising the kidney for explora-tion or drainage, for the removal of stone, for the relief of unilateralnephralgias, or as preliminary to plastic operations for hydronephrosisor pyonephrosis. The incision into the kidney varies with the purposeof the operation. In every case, M^hether long or short, it should be madea little posterior to the convex border, he?iiorrhage lieing prevented bythe fingers of an assistant, of the operator himself, or by a padded clamp,temporarily shutting off the blood-supply to the kidney. If the operationbe done for suppuration or distention of any character, the incision maybe made through the most fluctuating area, irrespective of its relation tothe non-vascular zone. The final steps of a nephrotomy depend upon the VOL. IV 17.
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