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Article
July 1930

A REVIEW OF UROLOGIC SURGERY

Author Affiliations

LOS ANGELES; ROCHESTER, MINN.; ROANOKE, VA.; TORONTO, CANADA; ANTWERP, BELGIUM; LOS ANGELES

Arch Surg. 1930;21(1):162-184. doi:10.1001/archsurg.1930.01150130165010
Abstract

KIDNEY 

Surgical Technic.  —Halbfas-Ney1 reviewed data on resection of the twelfth rib in many cases during recent years. Reports of this procedure in the literature are meager, and opinions as to its merits are varied. Israel and Albarran seldom used the procedure; Kuster observed it only once, and Wildbolz used it only twice in 175 cases of renal tuberculosis. Kümmell, Frangenheim-Wehner and Israel are of the opinion that incision of the kidney should be extended anteriorly for better exposure. Schmieden resected the twelfth rib twenty-nine times in 92 cases in which nephrectomy was performed; in 1 case the eleventh rib also was taken. The possibility of injuring the pleura has been an objection to this method, but such injury occurred in only 3 cases of Halbfas-Ney's series. He resected the twelfth rib in all cases if the kidneys were high-lying, as well as in those in which the kidney

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