On the origin and progress of renal surgery : with special reference to stone in the kidney and ureter and to the surgical treatment of calculous anuria being the Hunterian lectures for 1898 together with a critical examination of subparietal injuries of the ureter / by Henry Morris.
- Date:
- 1898
Licence: Public Domain Mark
Credit: On the origin and progress of renal surgery : with special reference to stone in the kidney and ureter and to the surgical treatment of calculous anuria being the Hunterian lectures for 1898 together with a critical examination of subparietal injuries of the ureter / by Henry Morris. Source: Wellcome Collection.
Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.
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![TIONS FOR INJURY. ME. HENRY MORRIS. Date of Operation. Result. Remarks. Exploration. Oct. 27th, 1887 R. Kidney. Recovered. The kidney was explored through a right lumbar incision. As the transversalis fascia was being examined, it burst, and 100 oz. of blood-stained fluid escaped. A large rent was felt in the renal pelvis. A drainage-tube was ]iut into the wound, but not into the kidney. Recovered with a fistula. The kidney was twice explored in 1889. (F. Nos. 2 and 4 in this table.) (See Edinhurqh Med. Journ., Jan., 1898.) Exploration. June 1st, 1889 R. Kidney. Recovered. The old scar was reopened. Kidney could not be defi- nitely distinguished, the man was very stout, and all the tissues in the loin had been very much altered by in- flammatory changes. A drainage-tube was inserted into the track of the old sinus. In July, 1894, the sinus was still open and a little fluid escaping ; but the sinus finally closed. (For previous operation, v. Nos. 1 and 4, and Clinical Jour- nal, Aug. 1st, 1892.) Nephrectomy. July 8th, 1893. L. Kidney. Recovered. After dividing tlie muscles the lumbar fascia bulged con- siderably into the wound, and as soon as it was incised a quantity of extravasated blood escaped. About 4 pounds of blood- clot was removed from an extensive retro-peritoneal space, in addition to a large quantity of black treacle-like blood. The source of the haemorrhage had been a deep rent in the anterior surface of the lower half of the kidney. Kidney was removed and wound healed well. Patient wrote on Nov. 23rd saying he was feeling better than he had done at any time during recent years. (F. Clinical Journal, Aug. 1st, 1894.)](https://iiif.wellcomecollection.org/image/b21955475_0281.jp2/full/800%2C/0/default.jpg)
