My recent ureteral work / by Howard A. Kelly.

  • Howard Atwood Kelly
Date:
[1893]
Catalogue details

Licence: Public Domain Mark

Credit: My recent ureteral work / by Howard A. Kelly. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    S.fi.C(.f)ofkn My Recent Ureteral Work.1 BY HOWARD A. KELLY, Professor of Gynaecology and Obstetrics in the Johns Hopkins University, Baltimore. INTRODUCTORY. I have elected to bring before you this evening my practical experience in ureteral work, because I know of no subject within the wide range of gynaecology at the present time more deserving of our close critical atten- tion, for two reasons, first, the emi- nently valuable practical results attain- able by an intelligent application of the knowledge already in hand, and second, because the immediate future is destined to evolve nezv facts of para- mount importance, and to the credit of our past history we ought to be among the pioneers. Let me fix your attention, therefore, on the subject in hand by reminding you for a moment of the anomalously 1 Read before the Philadelphia Obstetrical Society, April 6, 1893. important position occupied by the ureters in the animal economy. Their function is that of transmitting the fluid excrement from those vitally- important emunctories, the kidneys. Disease of one of these delicate tubu- lar excretory conduits affects its lumen, interferes with transmission of the urine, and thus involves the corresponding kidney. Complete stoppage of the ureter quickly destroys the functional value of its kidney. A serious affection of both ureters is incompatible with prolonged life. The gynaecologist has a three-fold reason for his interest in this field ad- joining his own territory. In the first place, definite causal relations often exist between pelvic diseases an . ureteral and kidney affections. Thus a tuberculous bladder is an initial stagJ of a tuberculous ureter. Cancer of b