Subcutaneous pelvioureteral lumbar implantation, in lieu of ureterectomy after nephrectomy / by A. Ernest Gallant.

  • Gallant, A. Ernest.
Date:
1906
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Licence: In copyright

Credit: Subcutaneous pelvioureteral lumbar implantation, in lieu of ureterectomy after nephrectomy / by A. Ernest Gallant. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    BY A. ERNEST GALLANT, M.D., of New York City. Professor of Gynecology, New York School for Clinical Medicine; Consulting Surgeon, Jamaica Hospital; Assistant Gynecol- ogist, Koosevelt Hospital, Outpatient Depart- ment, etc. Is removal of the ureter after nephrectomy advisable, desirable, or necessary ? My own answer to this impor- tant question can best be stated by a recital of the his- tory, method of operation, and outcome of the case which lead up to the conclusions hereafter stated. April 19, 1904, in response to a call from Dr. L. H. Moss, I saw Mrs. S., aged 29, mother of three children, the last born December 25, 1899, instrumental delivery. May 5, 1900, Dr. E. B.Cragin removed bilateral ovarian dermoids and left pyosalpinx, with the uterus. From April !0 to 16,1904, she has been suffering with pleuritic pains in the right side, which have subsided. Three days ago, after fooling and jumping with the children, she felt something give on the right side, just below the chondral border, followed by a constant stitchlike, but not severe pain. Since the operation of four years ago, her right side has always been weak. Examination: Patient well nourished, somewhat anemic. Right kidney tender, lower pole palpable; greater curvature of the stomach on a level with the umbilicus. Highest temperature yesterday, 103° F. Diagnosis: Hydronephrosis from prolapsed kidney. I elevated the foot of the bed and applied Rose’s plaster binder. April 22: Urinalysis showed pus and caudate and conical cells from the kidney pelvis, indicating pyelitis. 1 Read before the Surgical Section, New York Academy of Medicine, October 6,1905.