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A REVIEW OF UROLOGIC SURGERY
ALBERT J. SCHOLL, M.D.;
E. STARR JUDD, M.D.;
JEAN VERBRUGGE, M.D.;
ALEXANDER B. HEPLER, M.D.;
ROBERT GUTIERREZ, M.D.;
VINCENT J. O'CONOR, M.D.
Arch Surg. 1934;29(4):678-696.
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KIDNEY
Stone.
—Gayet1 pointed out the difficulty encountered when lithiasis occurs in a solitary, infected kidney or bilaterally in kidneys with the renal parenchyma in an advanced stage of destruction. He reported 2 cases of this type in which minor operative procedures, such as incision of the renal parenchyma with insertion of an individual indwelling catheter and the opening of a perinephric abscess, had kept the patients from succumbing to the disease and had relieved them at least temporarily. In 1 case the right kidney was practically functionless whereas the left kidney contained a large stone. In the other case, the stone was in a horseshoe kidney; the urine was purulent, and there was a perinephric abscess communicating with the pelvis.
Most of the patients with these conditions are uremic and cannot endure a long operation under general anesthesia. The period of operation must be brief, and as a
. . . [Full Text PDF of this Article]
Author Affiliations
LOS ANGELES; ROCHESTER, MINN.; ANTWERP, BELGIUM; SEATTLE; NEW YORK; CHICAGO
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