This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

E. STARR JUDD, M.D.; ALBERT J. SCHOLL, M.D.; LINWOOD D. KEYSER, M.D.; GORDON S. FOULDS, M.D.

Arch Surg. 1924;9(3):653-688.

	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.

—Anterior pyelotomy was first described by Kapsammer, who claimed that it was not followed by fistula. Rosenstein¹ claims that there is no more risk of injuring vessels than by the posterior route. Aberrant vessels, or branches, commonly pass behind the renal pelvis. In some cases the entire upper branch of the renal vein may pass posteriorly to the pelvis. Rosenstein believes that the anterior approach to the kidney is the natural one; the pelvis is reached by retracting or separating the artery and veins. The injury to the kidney is less with this approach than with a posterior incision. A better view is obtained of the pelvis, especially in the obese patient with a short, thick torso, and if there is perinephritis or peripyelitis. There is less hindrance to the outflow of urine following an anterior incision, and the danger of forming a fistula is less. . . . [Full Text PDF of this Article]

Author Affiliations
ROCHESTER, MINN.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?