The American Journal of Urology and Sexology, Volume 8Henry G. Spooner Grafton Press, 1912 |
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abdominal acid albumin anuria appearance Benign bladder bleeding blood calculus capsule carcinoma catheter catheterization cause cells cent chronic clinical colic condition cured cystitis cystoscope cystotomy cysts decapsulation diagnosis dilatation disease drainage drug epididymitis examination excretion fistula fluid frequently function genito-urinary gland gonorrhea gonorrheal hematuria hemorrhage hospital hypernephroma hypertrophy incision inflammatory injection intravenous irrigation JOURNAL OF UROLOGY kidney left kidney lesions lumbar malignant microscopically minutes months negative neoplasm nephrectomy nephritis normal obstruction obtained occur operation organ orifice pain parenchyma passed pathological patient penis perineal phosphaturia phthalein posterior urethra present prostate prostatectomy pyelitis reaction rectum removed renal colic renal pelvis reported retention right kidney salvarsan sexual showed solution sterile stone stricture suprapubic surgical sutures symptoms syphilis testicle therapy tion tissue treatment tube tuberculosis tumor ureter ureteral catheter urinary tract urine UROLOGY usually vesical Wassermann weeks wound X-ray
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Page 326 - By retracting the erector spime muscle, on the one hand, and the costal margin, on the other, a wide exposure is accomplished at the point of previous inaccessibility. As a rule, the kidney can readily be drawn through the incision to the surface with but little traction. The incision is easily closed, and there is little or no danger of hernia.
Page 38 - The study of a variety of experimental renal lesions in the dog demonstrates that the phenolsulphonephthalein test of Rowntree and Geraghty is one of the most satisfactory and at the same time most delicate methods of estimating the functional activity of the kidney. The...
Page 326 - The ilio-inguinal and ilio-hypogastric nerves are identified and retracted out of harm's way and the lower part of the incision completed. The twelfth rib is then cleared in its posterior portion upward and backward nearly to the articulation of the rib with the transverse process of the twelfth dorsal vertebra, and the pleura is pushed upward.
Page 326 - From this point, the incision passes obliquely downward and forward along the anterior margin of the quadratus lumborum muscle, to a point an inch above the crest of the ilium, and there turning runs forward parallel to the iliac crest as far as necessary. The posterior superior...
Page 258 - The former custom of withholding all fluids from the patient for twenty- four hours after operation and until drastic catharsis has been established, was all wrong, and has no doubt worked greater disaster than we know. Hiccough and persistent vomiting following operations is indicative of diminished renal activity, and should be looked upon as a symptom or a note of warning rather than as an independent complication calling for special treatment.
Page 254 - TME success or failure of a major operation depends largely upon the activity of the kidneys, of course barring faulty technic and bad surgical judgment of operator. The functional activity of the kidneys may be influenced by the shock incident to a major operation, by the anesthetic, by trauma to one or the other kidney, by calculi, or by ureteral obstruction from any cause. Hysterical anuria or oliguria, if such a thing is possible, seldom follows operations. There are still some of us who are...
Page 327 - ... radiograph providing a sufficient amount of the undiluted injected medium reaches the pelvis. The dilatation will be readily recognized by the increased size of the pelvic lumen as well as by the broad knobbed shape of the calyces. The greater the distention. the shallower and broader will the calyces appear. The etiologic factors can often be interpreted from the contour of the distention. The mechanical or retention dilatation is distinguished from the inflammatory distention by the comparative...
Page 326 - The posterior superior lumbar triangle (Kelly) just beneath the twelfth rib is then exposed by cutting an opening through the external and internal oblique, transversalis, and latissimus dorsi muscles,, exposing the transversalis fascia in its lumbar portion. This fascia is then opened freely, exposing...
Page 326 - Mayo begins his incisions at a point 2J inches lateral to the dorsal spines near the outer margin of the erector spinae muscle. A longitudinal incision is made 2 to 3 inches long through the skin, superficial fascia, and posterior layer of the lumbodorsal fascia which covers the erector spinae muscle. The incision lies behind the twelfth rib from the angle, if present, nearly to the head, and reaches downward to a point one-half inch below the angle.
Page 159 - I believe that the gonococcus does not persist in the male urethra for more than three years, while in at least 90 per cent, of cases it disappears, with or without treatment, within a year.