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ALBERT J. SCHOLL, M.D.; E. STARR JUDD, M.D.; LINWOOD D. KEYSER, M.D.; GORDON S. FOULDS, M.D.; JEAN VERBRUGGE, M.D.; ADOLPH A. KUTZMANN, M.D.

Arch Surg. 1927;15(5):799-828.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

KIDNEY

Surgical Technic.

—Chauvin¹ reported a case in which secondary nephrectomy was performed by means of thoracophrenolaparotomy. Several years previously the patient had been struck by a bullet, which had broken the tenth rib, perforated the pleural culdesac, and finally stopped in the right lobe of the liver. When the kidney was removed, it was found embedded in a thick, hard, fibrous mass. As sufficient exposure could not be obtained, even with resection of the twelfth rib, the pleural culdesac and the diaphragm were incised up to the ninth rib, which permitted ample operating space. Adhesions from an earlier empyema prevented pneumothorax.

Roseno² expressed the belief that pyelotomy is much superior to nephrotomy, if it can be performed. He stated that of 1,767 nephrotomies reported in twenty-five years 85 were secondary; 102 patients died, a mortality of 5.8 per cent. In contrast to this, in 950 pyelotomies reported . . . [Full Text PDF of this Article]

Author Affiliations
LOS ANGELES; ROCHESTER, MINN.; ROANOKE, VA.; TORONTO; ANTWERP, BELGIUM; LOS ANGELES

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