File:Pediatrics. (1902) (14578038197).jpg

Identifier: pediatrics1319unse (find matches)
Title: Pediatrics.
Year: 1902 (1900s)
Authors:
Subjects: Pediatrics Children Infants Pediatrics Disease Disease
Publisher: New York : Van Publishing
Contributing Library: Columbia University Libraries
Digitizing Sponsor: National Endowment for the Humanities (NEH)

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
ison has suggested an explanation which appears tobe reasonable if applied to certain classes of cases. He believes thatrenal tension is relieved by splitting the capsule and thus the kidney is per-mitted to perform its normal function. That renal tension exists in acutenephritis no one will deny; such rapid swelling of the organ has occurredthat post mortem, the capsule has been found to have actually burst.Well recognized principles of surgery may therefore be employed here,and an incision of an acutely inflamed kidney may by relieving tension,afford relief and effect a cure, just as glaucoma is relieved by iridectomy,or an acute orchitis is relieved by incision. These are comparisons sug-gested by Mr. Harrison, and we cannot but agree that the arguments headvances along these lines for incision of the capsule of the kidney inacute nephritis are logical. The explanation is, however, not adequatefor those cases of albuminuria of long standing which are relieved by asimple nephrotomy.
Text Appearing After Image:
The upper photograph was taken on November 19, 1901, two days before the firstoperation. The lower photograph was taken on February 3, 1902,forty-five days after the last operation on the kidney. Mr. Harrisons successful cases are those of post-scarlatinal nephritis;nephritis contracted by exposure to cold; nephritis after influenza andthat of traumatic origin. He has also observed the disappearance ofalbumin after operation in calculous nephritis. The disappearance of albumin and casts from the urine after opera-tion on the kidney had been noted by many observers, such as Rose,Newman and Ferguson. We are mainly indebted, however, to Harrison,in England, and to Edebohls, in America, for pointing out the bearingwhich these results have on the question of the possibility of curing albu-minuria by surgical means. Pediatrics 317 Edebohls believes that as the result of the operation of decapsulationstrong bands of adhesions form between the kidney and its immediatesurroundings; large blood

Note About Images