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The indications for operation in the presence of multiple stones in the kidney are not standardized and are influenced largely by the clinical data in the individual case. The tendency in recent years has been toward conservation. If in the complete removal of stones the kidney is not too greatly injured, and if it is shown that considerable function remains, the kidney should be saved. It may be comparatively easy to remove the kidney, but it requires experience and the cooperation of several technical aids to remove all the stones successfully and save the kidney. Among the factors which must be considered in determining the advisability of conservative operation are the size, shape and number of stones, the area involved, the function of the organ and the age of the patient.
SIZE AND SHAPE OF STONES
It should be recognized that the removal of large branched stones may necessitate considerable
BRAASCH WF, CULLIGAN JL. MULTIPLE RENAL STONESPROBLEMS IN THE TREATMENT OF PATIENTS WITH THIS CONDITION. Arch Surg. 1928;17(2):259–278. doi:10.1001/archsurg.1928.01140080089004