This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1897 Excerpt: ...sacrificing the mucous membrane there should be at least an attempt made to utilize it in closing the defect. Transplantation of the ureters is a method of treatment by no means new, but one to which experimental research and repeated clinical trials have recently called attention. In animals this method has been so ...
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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1897 Excerpt: ...sacrificing the mucous membrane there should be at least an attempt made to utilize it in closing the defect. Transplantation of the ureters is a method of treatment by no means new, but one to which experimental research and repeated clinical trials have recently called attention. In animals this method has been so frequently followed by ascending pyelonephritis and death that this sequel has been regarded as inseparable from the operation. There is, however, reason to believe that this is avoidable, and that it is due in great part to narrowing of the transplanted ureteral orifice and backward pressure on the kidneys. Maydl has successfully accomplished this transplantation by opening the peritoneal cavity at the border of the exstrophied bladder and removing the whole of the latter except a small segment containing the ureteral orifices. Into the latter are passed small catheters. The small bladder-segment left, together with the attached ureters, is thoroughly mobilized; the colon is drawn out and incised longitudinally, and in this opening is secured the portion of the bladder-wall containing the ureters. The mucous membrane is first sewed to the mucous membrane of the gut, then the musculo-peritoneal coating of the intestine is sutured to the muscular wall of the bladder-segment. Finally the abdominal wound is closed by suture. Boari has described a rapid and easy method of performing ureteral colostomy, employing a device very like the Murphy button. A consideration of the various operative methods applicable to exstrophy leads us to believe that in certain appropriate cases the method of choice is direct suture of the freshened bladder-borders, thus forming an irregular cylinder, which acts not as a reservoir but as a conductor of urine, allowing a ...
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Seller's Description:
Good+ L 8vo 7.75-9.75'' tall. 1897. Ex-Library Reference. Blue cloth, gold spine decor. Moderate general wear. Rear hinge paper cracked. 1061 pages. 7611.
