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July 27, 1907

Exploration of Both Kidneys Before Nephrectomy Through a Double Lumbar Incision—Question of Priority.

JAMA. 1907;XLIX(4):343. doi:10.1001/jama.1907.02530040055017

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Copenhagen, July 12, 1907.

To the Editor:  —In a paper entitled "Exploration and Decapsulation of the Other Kidney Before Completing a Nephrectomy" and published in The Journal, June 1, 1907, Dr. George M. Edebohls describes as his own a method to expose and examine both kidneys through a double lumbar incision, which, since 1893, I have had in use and recommended in cases where it was impossible by other means to decide if a single or both kidneys were affected by a disease which required extirpation.Dr. Edebohls now proposes "that no nephrectomy should be completed without examination and decapsulation (!) of the remaining kidney." I do not fear that any surgeon who skilfully masters modern diagnostic methods will follow Edebohls' ultramontane proposition and perform such a lot of superfluous lumbar incisions, and therefore, I should have remained quiet if Dr. Edebohls had not forced me to speak by the following

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