Volume 1

Surgical diseases of the kidney and ureter including injuries, malformations and misplacements.

  • Morris, Henry, 1844-
Date:
[pref. 1901]
Catalogue details

Licence: Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)

Credit: Surgical diseases of the kidney and ureter including injuries, malformations and misplacements. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    surface of that viscvis by a narrow slit-like orifice, one inch distant from the orifice of the o])posite in-eter, and about the same distance behind the urethra. After the ureters have pierced the outei- and middle muscular strata of the bladder, the fibres of their own muscular coat are disposed, according to Ellis, as follows: the internal, the most numerous, are directed transversely, and unite with the corre- sponding fibres of the opposite ureter; whilst the remainder join the submucous muscular layer of the bladder, and are du-ected obliquely downwards over the tiiangular space to the sub- mucous strata of the urethra. Sir Charles Bell pointed out that on dissecting off the inner coat of the bladder two strong fleshy bands (the muscles of the ureters) are seen to descend from the orifices of the lu-eters towards the urethral opening. Just behind the prostate these bands are well marked and fleshy, and after uniting with one another become tendinous, and are inserted into the lower and back part of the middle lobe of the prostate. As the vireters lie in the vesical wall they are much nearer to the inner than the outer surface of the bladder, the musculai- coat being posterior to them. Irregularities of the renal arteries.—These are so com- mon that some deviation from the regulai- condition is to be expected in three cases out of every seven. The variations have reference to the number, origin, branching, points of entrance into the kidney, and, lastly, to the distribution of branches to parts around. It is much more common foi' the artei-ies to be urcreased than • decreased in munber, and the greatest number is usually found on the left side. Both renals have been seen arising by a common stem from the front of the aorta (Portal). Multiple arteries may be derived from the aorta, suprarenal, lumbar or internal, external or common iliacs; from the middle sacral, the right hepatic, or the colica dextra. According to Macalister additional arteries arise from the various sources in the following order of fi-equency:— Suprarenal (very common); 2nd or 3rd lumbar; Right hepatic;