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A review of the literature reveals many different methods for kidney fixation. It seems that thus far none has been accepted as a standardized way for this operation. Albarran, a French surgeon, suggested the splitting of the capsule, and used it as a layer to make the fixation. Hahn, a German, suggested the splitting of the capsule into four parts. He separated the capsule longitudinally and divided it so that the upper pole and the lower pole could each be fixed by two anchors. A number of various methods could be enumerated, with most of which all are familiar.
The one about to be described is offered as a suggestion. I have used it in a number of cases with most gratifying results. Petit's triangle is divided and the kidney exposed. The capsule is split from pole to pole and separated carefully on each side of the kidney down to
McKENNA CM. CUFF OPERATION FOR NEPHROPEXY. JAMA. 1917;LXVIII(26):1976–1979. doi:10.1001/jama.1917.04270060384009
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