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Article
April 4, 1903

A FEW PRACTICAL POINTS IN THE TECHNIC OF NEPHRORRHAPHY AND HERNIOTOMYAND A NEW MODIFICATION OF ALEXANDER'S OPERATION.

Author Affiliations

CHIEF SURGEON OF THE FRENCH HOSPITAL. SAN FRANCISCO.

JAMA. 1903;XL(14):891-894. doi:10.1001/jama.1903.92490140007001b

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Abstract

In presenting this paper to the medical profession, I wish merely to call attention to a few simple details that I have found of such practical benefit that my results are far superior to what they formerly were.

By referring to my case-books I note that the cases operated on prior to 1890 and in which I followed the technic then in vogue, are not to be compared in practical results, rapidity of healing and permanent benefits, to my subsequent cases, in which I followed the technic here given.

NEPHRORRHAPHY.  An incision 10 cm. long is made 4 cm. from the spine and 2 cm. below the twelfth rib and parallel to it, cutting through the skin, fascia and muscles. The finger is inserted in the incision and the peritoneum is pushed out of harm's way. The fatty capsule of the kidney is caught, opened and resected

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