Vernon reports a case of serious injury to the kidney, resulting
in recovery in nine weeks. The patient fell 40 feet, landing on
some rubbish and old iron, and received a wound measuring six
inches over the right iliac crest, through which the lower end of
the right kidney protruded; a piece of the kidney was lost. The
case was remarkable because of the slight amount of hemorrhage.
Nephrorrhaphy is an operation in which a movable or floating
kidney is fixed by suture through its capsule, including a
portion of kidney-substance, and then through the adjacent lumbar
fascia and muscles. The ultimate results of this operation have
been most successful.
Nephrolithotomy is an operation for the removal of stone from the
kidney. The operation may be a very difficult one, owing to the
adhesions and thickening of all the perinephric tissues, or to
the small size or remote location of the stone.
There was a recent exhibition in London, in which were shown the
results of a number of recent operations on the kidney. There was
one-half of a kidney that had been removed on account of a
rapidly-growing sarcoma from a young man of nineteen, who had
known of the tumor for six months; there was a good recovery, and
the man was quite well in eighteen months afterward.
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