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Article
October 1934

A REVIEW OF UROLOGIC SURGERY

Author Affiliations

LOS ANGELES; ROCHESTER, MINN.; ANTWERP, BELGIUM; SEATTLE; NEW YORK; CHICAGO

Arch Surg. 1934;29(4):678-696. doi:10.1001/archsurg.1934.01180040154013
Abstract

KIDNEY 

Stone.  —Gayet1 pointed out the difficulty encountered when lithiasis occurs in a solitary, infected kidney or bilaterally in kidneys with the renal parenchyma in an advanced stage of destruction. He reported 2 cases of this type in which minor operative procedures, such as incision of the renal parenchyma with insertion of an individual indwelling catheter and the opening of a perinephric abscess, had kept the patients from succumbing to the disease and had relieved them at least temporarily. In 1 case the right kidney was practically functionless whereas the left kidney contained a large stone. In the other case, the stone was in a horseshoe kidney; the urine was purulent, and there was a perinephric abscess communicating with the pelvis.Most of the patients with these conditions are uremic and cannot endure a long operation under general anesthesia. The period of operation must be brief, and as a

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