Operation for the relief of valve-formation and stricture of the ureter in hydro- or pyonephrosis / by Christian Fenger.

  • Christian Fenger
Date:
1894
Catalogue details

Licence: Public Domain Mark

Credit: Operation for the relief of valve-formation and stricture of the ureter in hydro- or pyonephrosis / by Christian Fenger. 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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    Reunion of a transversely divided ureter first studied experimentally on dogs by Tuffier17 and others, was not successful until the method of invag- inating the upper into the lower portion was devised by Poggi18 and Van Hook. It was first practiced successfully in man by Kelly who used Van Hook’s method. Poggi found that by invaginating the up- per end into the lower, union would take place. He divided both ureters in dogs, dilated the lower end with a forceps, invaginated the upper end into the lower and united with sutures. When the animals were killed fifteen davs and three and one-half months a b c A —Ureter showing stricture and line of incision. B —Opening through the stricture extending into the proximal and distai portion of the ureter. The extreme ends of the incision a and a to be united^r sutUring; a, the bend at the site of the stricture.
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