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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![Operation. Eesult. Eemarks. Nov. 7th, 1893, R. kidney explored, and found very large, tough, and hypertrophied. Kidney incised and found to be sacculated, and an ounce or two of urine ])ent up. Dec. 31st, 1893, Nephro- tomy, E. Kidney. I Jan. 9th, 1894, E. ne- phrotomy and ureter- otomy. Calculus found blocking ureter at its upper end, and several small stones in the pelvis were also ex- tracted through the same incision in the ureter. The one block- ing the ureter weighed 7 grains. One also removed from kidney substance by incision along convex border which weighed 36 grns. After the operation large (pian- tities of urine freely passed through the lumbar wound up to the time of death. P.M., right kidney in ad- vanced state of chronic nephritis and dilatation, owing to previous long- standing partial obstruction in ureter. Left kidney en- tirely destroyed. The right kidney was incised, and a quantity of foul urine and pus escaped. After the operation there was some improvement for a few days, and much urine was secreted by the wound, and some was passed naturally. Died a week after operation. P.M., suppuration of right kidney, and half-way down the ure- ter a phosphatic stone was impacted. The left kidney was completely atrophied. {Brit. Med. Journ., i., 1894, p. 1304.) Urine freely jmssed immediately after operation, and con- tinued to death. P.M., left kidney a mere shell, contain- ing 360 grains of calculous deposit. {B. M. J., May 5th, 1894, p. 960.) Died. Died 58 hours after the operation. Died Nov. 9th. Nephrotomy on 12th day. Recovered. For 2 months after operation the urine was partly passed through the wound in the loin. A calculus the size of a bean was then passed through the urethra, and after this the fistula rajudly closed. {Annales des maladies des organes gOiito- urinaires., 1894, p. 97.)](https://iiif.wellcomecollection.org/image/b21955475_0291.jp2/full/800%2C/0/default.jpg)
