CONSERVATION IN RENAL SURGERY
Barney29 stated that even though one good kidney or a portion of it is sufficient to maintain health, an attempt should be made to conserve as much tissue as possible. However, a kidney which, because of infection or some other condition, will be a menace to the patient should not be saved. Nephrectomy may be the most advisable procedure in one case; in another almost identical case conservative measures may be satisfactory. Conservative measures are not applicable to new growths or to tuberculosis; nephrectomy is indicated in these conditions. In other pathologic conditions, such as pyonephrosis, trauma and congenital deformity, conservation is also often contraindicated.Nephrotomy has been practically abandoned in the treatment of renal calculi. Rosenow reviewed 1,767 cases of nephrotomy with a mortality of 5.89 per cent and 950 cases of pyelotomy with a mortality of 0.7 per cent. In an investigation of
SCHOLL AJ, JUDD ES, KEYSER LD, et al. A REVIEW OF UROLOGIC SURGERY. Arch Surg. 1932;25(6):1166–1190. doi:10.1001/archsurg.1932.01160240158014
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