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December 23, 1893

THE SURGERY OF THE URETERS: A CLINICAL, LITERARY AND EXPERIMENTAL RESEARCH.Read in the Section on Surgery and Anatomy at the Forty-fourth Annual Meeting of the American Medical Association June 8, 1893.

JAMA. 1893;XXI(26):965-973. doi:10.1001/jama.1893.02420780013001e

(Concluded from page 916).

The Writer's Plastic Methods for Making a Vesical Diverticulum.—When the ureter has been injured in intra-abdominal operations in such a way that the duct can not be there implanted into the bladder, or when morbid processes are found to have brought about the same result, I would recommend strongly the following procedure:

1. Implant the ureter upon the skin of the abdomen in the median line as near the bladder as possible. Close the abdominal walls as usual, except for the presence of the ureter.

Fig. 3.—Cadaver lying on the left side. Incision made to expose the ureter, which is seen upon the hook at the right.

2. When the patient has fully recovered from the primary operation, open the structures composing the abdominal wall between the ureter and the pubes down to the peritoneum and bladder. The peritoneum must not be opened. The bladder may