Remarks on extirpation of the kidney : with cases of nephrectomy for pyonephrosis and nephrotomy for rupture of the kidney / by Robert F. Weir.

  • Weir, Robert F. (Robert Fulton), 1838-1927.
Date:
1884
Catalogue details

Licence: Public Domain Mark

Credit: Remarks on extirpation of the kidney : with cases of nephrectomy for pyonephrosis and nephrotomy for rupture of the kidney / by Robert F. Weir. 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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    ftepriii ted from the New YorJc Medical Journal for December 87, l&Sf * I*3/ ■ k' V / *. / REMARKS ON EXTIRPATION OF THE KIDNEY, WITH CASES OF NEPHRECTOMY FOR PYONEPHROSIS AND NEPHROTOMY FOR RUPTURE OF THE KIDNEY* By ROBERT F. WEIR, M. D., SURGEON TO THE NEW YORK HOSPITAL ; PROFESSOR OF CLINICAL SURGERY, COLLEGE OF PHYSICIANS AND SURGEONS, NEW YORK. In September of last year a young woman, aged twenty- three, came under my charge at the New York Hospital for a tumor in the right hypochondriac region, of which she gave the following history : In 1876, seven years previously, she had a severe and ob- stinate attack of cystitis, which lasted, in spite of all treatment, fur two years, when, at the Roosevelt Hospital, a vesico-vaginal opening was made to place the bladder at rest. This gave such relief that at the end of a year she had the opening closed by an operation, believing herself fully cured of the cystitis. But this proved not to be true, for the symptoms reappeared, and six months later the wound was reopened. In September, 1880, the fistula, which had become contracted, was enlarged at the Woman’s Hospital. After remaining there for some time with moderate improvement, she left that institution, hut came hack again in September, 1882, the irritability of the bladder being worse, if possible, than ever before. The urethra at that time was button-holed, as it is called by Dr. Emmet; in other words, an incision was made along the lower floor of the ure- * Read before the New York Surgical Society, December 9, 1884.