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May 1929


Arch Surg. 1929;18(5):2216-2234. doi:10.1001/archsurg.1929.01140140172010


Surgical Technic.  —Bailey34 reported a case of nephro-ureteral anastomosis. In an attempt to remove an impacted stone from the renal pelvis, the pelvis suddenly became detached from the kidney. The ureter could be seen lying limply attached to the kidney by a shred of tissue. The stone was then easily removed. The next consideration was to repair the injury. Nephrectomy was out of the question because of the uremic condition of the patient and because of a large calculus in the other kidney. There was little hope of obtaining functional anastomosis, but, because of the possibility that even a renal fistula would tide the patient over the crisis of the removal of the stone from the opposite kidney, the following procedure was adopted: the small transverse incision in the hilum of the kidney was extended toward the convex border. The torn edge of the pelvis was sutured, at

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