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Article
April 17, 1909

A SUGGESTION FOR MORE READILY DETERMINING INJURIES OF THE URETER DURING OPERATION

JAMA. 1909;LII(16):1253. doi:10.1001/jama.1909.25420420033003g

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Abstract

Having within the past year been called on to use the cystoscope on three patients with injured ureters, it occurred to me that the following method might be of assistance in detecting these injuries at the time of operation. The surest method is to pass bougies or catheters into the ureters, but many times this is impracticable, both on account of conditions presented by the patient, and lack of experience on the part of the operator. Often the ureter may be cut, the cut portion inspected, and then there be doubt as to its identity. It is very easy to give a patient methylene blue by mouth before operation, or to inject into the gluteal muscles at the time of operation 20 minims of a 0.4 per cent. aqueous solution of indigo-carmine. These drugs will so color the urine that, should the ureter be cut and there be any leakage

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