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January 16, 1909

DECAPSULATION OF THE KIDNEYS FOR CHRONIC BRIGHT'S DISEASEWITH A REPORT OF THE RESULTS, IMMEDIATE AND REMOTE, OBTAINED IN 102 CASES THUS TREATED

JAMA. 1909;LII(3):195-201. doi:10.1001/jama.1909.25420290021001d
Abstract

When, in 1901, I suggested treating chronic Bright's disease by decapsulation of the kidneys, I placed myself under a moral obligation to report the results after a sufficient length of time had elapsed. In fulfilment of this obligation the present report is submitted:

The working theory on which I based my procedure of renal decapsulation for chronic Bright's disease was that by the removal of the impervious capsule an opportunity was created for the formation of new vascular connections between the blood vessels supplying the secreting structures of the kidney on the one hand and the blood vessels and tissues surrounding the kidney on the other. An additional blood supply is thus created for the kidney. The increased blood supply and activity of circulation are depended on to improve the working coefficient and gradually to restore the health of the kidney.

My observations on the kidneys of some of my

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