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March 1955

Boari Operation in Case of Solitary KidneyTreatment of Obstruction of Solitary Ureter Following Hysterectomy

Author Affiliations

South Dayton, N. Y.
From the Urological Service, Tri-County Memorial Hospital.

AMA Arch Surg. 1955;70(3):328-332. doi:10.1001/archsurg.1955.01270090006003

In 1896, Boari * reported an operation on a dog in which he utilized a flap of bladder wall reflected from the base upward and fashioned into a tube to replace the lower end of the ureter. The dog lived four years in apparent good health. However, no autopsy findings are recorded. In 1924, Demel † reported a series of operations on dogs in which he bisected the bladder and used the upper half to replace the lower ureter. Baidin,5 in 1930, described the use of the Demel procedure on the first human in the medical literature. His case was that of a ureterouterine fistula. The result was good, and he reported that four years postoperatively urine was spouting from the high orifice. This writer claimed that two-thirds of the ureter could be thus replaced. In this country, Spies, Johnson, and Wilson,6 in 1933, published two papers describing the

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