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. Together with a critical examination of subparietal injuries of the ureter.

  • Morris, Henry, Sir, 1844-1926.
Date:
1898
Catalogue details

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. Together with a critical examination of subparietal injuries of the ureter. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    opening in the posterior wall of the infundibulum, and found a valvular obstruction at the top of the ureter where it joined the renal pelvis. The valve was divided, and the ends of the incision were united by a suture. A bougie, now passed through the wound in the parenchyma, was retained in the ureter for two days. The wound in the renal pelvis was closed by sutures. The floating kidney was fixed. The patient recovered without fistula, and subsequently had no return of hydronephrosis. On November 26th of* the same year (1892) Fenger operated upon a man aged forty-seven for intermittent hydronephrosis of twenty years' duration, due to a stricture of the ureter close to its junction with the infundibulum. The stricture was produced by an injury when the patient was thirteen years old by his jumping from the back of a horse. The kidney and upper end of the ureter were exposed through a lumbar incision, The upper end of the ureter for half an inch was found imbedded in cicatricial tissue ; below this the ureter was normal. A longitudinal incision, a centimetre long, was made into the ureter just below the cicatrix, and the strictured part of the tube was divided from below upwards to the renal pelvis. The ends of the incision in the ureter were stitched together by the Heinecke-Mikulicz manner for closing the pylorus after division for stenosis. The next successful operation of this sort was performed by Herman Mynter of Buffalo, on August 14th, 1893. The patient was a man aged twenty-five, who for twelve years had suffered from painful intermittent hydronephrosis, due to a valvular obstruction at the upper extremity of the ureter. Calculus was diagnosed as the cause of the obstruction, but no stone was found. On exposing the kidney and upper part of the ureter through the usual oblique incision in the loin, a valve formation at the junction of the ureter and renal pelvis, and a hydronephrotic distension of the infundibulum of the size of an orange, were discovered. An incision an inch long was made into the lower part of this swelling, and about half a pint of pale limpid urine evacuated. Through this opening in the infundibulum the kidney and ureter were explored. The incision was then prolonged downwards through the valvular stricture, the lateral margins of the